Ebenezer Rest Home Llc

LBN: Ebenezer Rest Home Llc
Ebenezer Rest Home Llc is an health care organization with primary practice located at 18909 Red Oak Ln , Triangle VA 22172-2122. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as the primary health care specialty. Ebenezer Rest Home Llc can be contacted via phone (812) 447-2707, or through Namulondo, Jane F via phone (781) 244-7270.

Contact Information

Primary practice address
18909 Red Oak Ln Triangle VA 22172-2122
Phone: (812) 447-2707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Namulondo, Jane F
Phone: (781) 244-7270

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X

Profile Details

NPI number 1114551116
LBN Legal business name Ebenezer Rest Home Llc
DBA Doing business as
Authorized official Namulondo, Jane F
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2020
Last updated Feb 27th, 2020 - about 6 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 1114551116 NPPES
Virginia Other 02272020 ASSISTED LIVING FACILITY

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