Ebenezer Home Care Llc

LBN: Ebenezer Home Care Llc
Ebenezer Home Care Llc is an health care organization with primary practice located at 1189 Main St , Tunicia MS 38676. The organization recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as the primary health care specialty. Ebenezer Home Care Llc can be contacted via phone (662) 363-0102, or through Hibbler, Rodney via phone (662) 541-5009.

Contact Information

Primary practice address
1189 Main St Tunicia MS 38676
Phone: (662) 363-0102
Fax: (662) 363-0103
Website:
Map and Directions
Authorized official contact:
Name: Hibbler, Rodney
Phone: (662) 541-5009

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1104074228
LBN Legal business name Ebenezer Home Care Llc
DBA Doing business as
Authorized official Hibbler, Rodney
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 22nd, 2008 - about 18 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 1104074228 NPPES
Mississippi MEDICAID 07988034

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