Ebenezer Living Care Center

Primary specialty

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

Legal business name

EBENEZER LIVING CARE CENTER

Practice address

3204 Mearns CT
Midland, TX 79705-2754

Phone

(915) 259-9621

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Enobong John

Title

Director

Phone

(915) 259-9621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1891611182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MEARNS CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052754",
            "telephone_number": "915-259-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 MEARNS CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052754",
            "telephone_number": "915-259-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER LIVING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ENOBONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-259-9621"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Dyer, PA-S
• Joel Edward Dyer, M.D.
• Franklin J Dzida, M.D.
• Marshall D Early, D.O.
• Diane Easter, P.T.
• Janet Edington, MED LPC
• Brian B Edwards, LPC/LCDC
• Deborah York Edwards, DPT
• Kristi A Edwards, MA LPC
• Larry Edwards, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Midland, TX
• Providers in Midland, 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 29, 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.