NPI 1215722855 · live from the CMS NPI Registry
Ebenezer Home Care LLC
Home Health in Providence, RI. National Provider Identifier 1215722855, active.
NPI record
| NPI | 1215722855 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 807 Broad St Rm 354, Providence, RI 02907 |
| Practice phone | 401-548-0680 |
| Enumerated | April 14, 2025 |
| Last updated | April 22, 2025 |
| Authorized official | Anadilia Mejia, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.