Ebenezer Maon Assisted Living LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EBENEZER MAON ASSISTED LIVING LLC

Practice address

171 Balsam CT
Springdale, OH 45246-2401

Phone

(513) 570-4134

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Serkadis Abebe Getachew

Title

Owner

Phone

(513) 482-9313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1629939103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BALSAM CT",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452462401",
            "telephone_number": "513-570-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 BALSAM CT",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452462401",
            "telephone_number": "513-570-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER MAON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "ABEBE GETACHEW",
        "authorized_official_first_name": "SERKADIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-482-9313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Springdale, OH
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.