Organization Active NPI

Ebenezer Private Homecare Inc

  • Community Health Registered Nurse
  • Villa Rica, GA
National Provider Identifier
1942199054
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
EBENEZER PRIVATE HOMECARE INC
Doing business as
Ebenezer Private Homecare Inc
Practice address
5260 Liberty Rd
Villa Rica, GA 30180-3122
Phone
(678) 542-8702
Fax
(770) 404-7333
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mrs. Hilary Theresa Thompson-Pierre, RNNPI 1447490875
Title
Owner/Ceo
Phone
(678) 542-8702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X Primary

Addresses

Primary practice location

5260 Liberty Rd
Villa Rica, GA 30180-3122

Mailing address

5260 Liberty Rd
Villa Rica, GA 30180-3122
Phone (678) 542-8702

Other names 1

  • EBENEZER PRIVATE HOMECARE INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1942199054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 LIBERTY RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803122",
            "telephone_number": "678-542-8702",
            "fax_number": "770-404-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 LIBERTY RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803122",
            "telephone_number": "678-542-8702",
            "fax_number": "770-404-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER PRIVATE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-PIERRE",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-542-8702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBENEZER PRIVATE HOMECARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.