Ebenezer 24-HR Residential Service LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EBENEZER 24-HR RESIDENTIAL SERVICE LLC

Practice address

4711 SE Lake Rd
Milwaukie, OR 97222-4745

Phone

(971) 678-2102

NPI assigned

Feb 16, 2026

Organization subpart

No

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

Authorized official

Name

Tiya Wakjira

Title

Owner

Phone

(971) 678-2102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1912850488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224745",
            "telephone_number": "971-678-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224745",
            "telephone_number": "971-678-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER 24-HR RESIDENTIAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "WAKJIRA",
        "authorized_official_first_name": "TIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-678-2102"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Durkee
• Michelle D Dusek, LMT
• Dennis Lee Duval, RPH
• Stacey Wayne Dykes, OTA
• Irmela H Easthorpe, OCCUPATIONAL THERAPI
• Harold Eberhart
• Jennifer Eberly
• Shannon Claire Eckes, RDH
• Wendy J Eckhart, PHARMD
• Carl Eckrode, RRT, MPH, PHD

• Nursing Care Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.