EBENEZER ADULT DAY PROGRAM – Adult Day Care Clinic/Center, NPI 1174508873

EBENEZER ADULT DAY PROGRAM is a healthcare provider. based in Minneapolis, Minnesota. specializing in Adult Day Care Clinic/Center. The organization holds a License No. 800713-2-ADC (MN). The NPI Number for EBENEZER ADULT DAY PROGRAM is 1174508873

Main info

Organization
Name
EBENEZER ADULT DAY PROGRAM
NPI
1174508873
Phone
(612) 879-2262
Address
2545 PORTLAND AVE
Authorized Official
MARK THOMAS PRESIDENT/CEO
Enumeration Date
14 December 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EBENEZER ADULT DAY PROGRAM

  • Portland Ave., 11th Street South, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554044406

    Phone: (612) 879-2262

    Fax: (612) 879-2316

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55404)

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Reviews

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Frequently asked questions

What is the standard ID for EBENEZER ADULT DAY PROGRAM in the U.S.?
In the U.S., EBENEZER ADULT DAY PROGRAM is identified by NPI 1174508873.
Is EBENEZER ADULT DAY PROGRAM currently accepting referrals based on NPI status?
Registry metadata lists EBENEZER ADULT DAY PROGRAM as active.
What services align with EBENEZER ADULT DAY PROGRAM's listing?
EBENEZER ADULT DAY PROGRAM's public classification highlights Adult Day Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What city is tied to EBENEZER ADULT DAY PROGRAM?
The directory associates EBENEZER ADULT DAY PROGRAM with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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