Ebenezer Road, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EBENEZER ROAD, LLC

Doing business as

Brookdale Ebenezer Road

Practice address

1920 Ebenezer Rd
Rock Hill, SC 29732-1014

Phone

(803) 366-1189

NPI assigned

Jan 7, 2026

Last updated

Jan 7, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Ebenezer Road Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1447117908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321014",
            "telephone_number": "803-366-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321014",
            "telephone_number": "803-366-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Ebenezer Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• H. Nelson Eddy, DDS PA
• Joseph Nelson Eddy, DMD

• Assisted Living Facility in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.