NPIMap

Organization Active NPI

Eben Ezer Lutheran Care Center

  • Assisted Living Facility
  • Yuma, CO
National Provider Identifier
1912713629
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
600 W 10TH Ave
Yuma, CO 80759-3214
Phone
(970) 842-2861
NPI assigned
Dec 6, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Leslie Mason
Title
Cfo
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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

600 W 10TH Ave
Yuma, CO 80759-3214

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2024.

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1912713629",
    "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": "600 W 10TH AVE",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "807593214",
            "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 Yuma, 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.