NPIMap

Organization Active NPI

Eben Ezer Lutheran Care Center

  • Assisted Living Facility
  • Sterling, CO
National Provider Identifier
1891501508
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EBEN EZER LUTHERAN CARE CENTER
Practice address
604 Jay Dr
Sterling, CO 80751-4718
Phone
(970) 842-2861
NPI assigned
Dec 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Leslie Mason
Title
Cfo
Phone
(970) 842-2861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

604 Jay Dr
Sterling, CO 80751-4718

Mailing address

122 Hospital Rd
Brush, CO 80723-1702
Phone (970) 842-2861

National Provider Directory

National Provider Directory
Tax ID family
Eben Ezer in-Home Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1891501508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HOSPITAL RD",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231702",
            "telephone_number": "970-842-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 JAY DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514718",
            "telephone_number": "970-842-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBEN EZER LUTHERAN CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-842-2861"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.