Organization Active NPI

Ebenezer Home Care Agency LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1992668602
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EBENEZER HOME CARE AGENCY LLC
Practice address
3525 I St Ste 307
Philadelphia, PA 19134-1455
Phone
(215) 495-3369
NPI assigned
Dec 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Lizmar Encarnacion-Rosario
Title
Executive Director
Phone
(215) 495-3369

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

3525 I St Ste 307
Philadelphia, PA 19134-1455

Mailing address

3525 I St Ste 307
Philadelphia, PA 19134-1455
Phone (215) 495-3369

National Provider Directory

National Provider Directory

Locations

3525 I St
Ste 307
Philadelphia, PA 19134
Phone (215) 495-3369

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1992668602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 I ST STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341455",
            "telephone_number": "215-495-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 I ST STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341455",
            "telephone_number": "215-495-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "ENCARNACION-ROSARIO",
        "authorized_official_first_name": "LIZMAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-495-3369"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.