National Provider Identifier Database

EBENEZER HOME CARE LLC
Homemaker

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.


Contact Information

EBENEZER HOME CARE LLC
1189 MAIN ST
TUNICA, MS38676
Phone: 662-363-0102
Fax: 662-363-0103
Website:
Specialty Taxonomy Code
* Homemaker 376J00000X

* Indicates primary specialty

NPI Profile & details for EBENEZER HOME CARE LLC

NPI Number 1104074228
Legal business name
LBN
EBENEZER HOME CARE LLC
Authorized official RODNEY HIBBLER - (ADMINISTRATOR/CEO)
Entity Organization
Organization subpart No
Enumeration date 09/03/2008
Last updated 09/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 07988034

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EBENEZER HOME CARE LLC

There are currently no reviews for EBENEZER HOME CARE LLC


NPIdb - Home
v2.201