Ebenezer Solace Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EBENEZER SOLACE CARE LLC

Doing business as

Ebenezer Solace Homes

Practice address

2105 Summit Dr
McKinney, TX 75071

Phone

(915) 328-2378

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By 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

Ajibola Afolabi

Title

Owner

Phone

(915) 328-2378

Specialties & licenses 1

Addresses

Other names 1

• Ebenezer Solace Homes Doing business as

Locations

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1649015330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 COLLIN MCKINNEY PKWY STE 500",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701524",
            "telephone_number": "915-328-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SUMMIT DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "915-328-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER SOLACE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "AFOLABI",
        "authorized_official_first_name": "AJIBOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-328-2378"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebenezer Solace Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in McKinney, TX
• Providers in McKinney, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.