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Ebenezer Adult Day Program

Adult Day Care Clinic/Center in Minneapolis, MN · enumerated 2005 · authorized official Mark Thomas, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174508873

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Adult Day Program
Practice address 2545 Portland Ave, Minneapolis, MN, 55404
Phone (612) 879-2262
Fax (612) 879-2316
Enumeration date Dec 14, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities · License 800713-2-ADC (MN) Primary

Authorized official

Name Mark Thomas
Title President/Ceo
Phone (612) 874-3460

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.

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Frequently asked questions

Who is the authorized official for Ebenezer Adult Day Program?
NPPES lists Mark Thomas (President/Ceo) as the authorized official for this organization.
What is the NPI number for Ebenezer Adult Day Program?
The NPI for Ebenezer Adult Day Program is 1174508873, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.