Ebenezer Adult Day Program
Ebenezer Adult Day Program is a healthcare organization registered as Adult Day Care Clinic/Center in Minneapolis, MN, holding Type 2 (organization) NPI 1174508873 since 2005. The authorized official on file is Mark Thomas, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174508873 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ebenezer Adult Day Program |
| Practice address | 2545 PORTLAND AVE, Minneapolis, MN, 55404 |
| Phone | 6128792262 |
| Fax | 6128792316 |
| Enumeration date | 2005-12-14 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mark Thomas |
|---|---|
| Title | President/Ceo |
| Phone | 6128743460 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA0600X | Adult Day Care Clinic/Center | Primary | 800713-2-ADC | MN |
Copy-ready billing details
Provider: Ebenezer Adult Day Program NPI: 1174508873 Taxonomy: 261QA0600X (Adult Day Care Clinic/Center) Address: 2545 PORTLAND AVE, Minneapolis, MN, 55404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184622870 | Ebenezer Society | Organization | Skilled Nursing Facility | Minneapolis, MN |
Verify this record
Cross-check NPI 1174508873 against the authoritative CMS record: view Ebenezer Adult Day Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ebenezer Adult Day Program?
What is the NPI number for Ebenezer Adult Day Program?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.