Ebenezer Healthcare Services

LBN: Ebenezer Healthcare Services
Ebenezer Healthcare Services is an health care organization with primary practice located at 5380 Peachtree Industrial Blvd Suite 247 Ab, Norcross GA 30071-4713. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Ebenezer Healthcare Services can be contacted via phone (470) 299-4564, or through Song, Myung S via phone 47029945464.

Contact Information

Primary practice address
5380 Peachtree Industrial Blvd Suite 247 Ab Norcross GA 30071-4713
Phone: (470) 299-4564
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Song, Myung S
Phone: 47029945464

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 067-R-1183 Georgia

Profile Details

NPI number 1285005645
LBN Legal business name Ebenezer Healthcare Services
DBA Doing business as
Authorized official Song, Myung S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285005645 NPPES
Georgia MEDICAID 003160947A

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