Ebenezer Society
Ebenezer Society is a healthcare organization registered as Skilled Nursing Facility in Minneapolis, MN, holding Type 2 (organization) NPI 1184622870 since 2005. The authorized official on file is Mark Thomas, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184622870 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ebenezer Society |
| Other name | <Unavail> |
| Practice address | 2545 PORTLAND AVE, Minneapolis, MN, 55404 |
| Phone | 6128792262 |
| Fax | 6128792316 |
| Enumeration date | 2005-07-07 |
| Last updated in NPPES | 2011-09-13 |
Authorized official
| Name | Mark Thomas |
|---|---|
| Title | President/Ceo |
| Phone | 6128743460 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 245587 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810542100 | Medicaid | MN | — |
| NA0018 | Other | MN | UCARE |
| 7100344 | Other | MN | MEDICA DUAL |
Copy-ready billing details
Provider: Ebenezer Society NPI: 1184622870 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2545 PORTLAND AVE, Minneapolis, MN, 55404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174508873 | Ebenezer Adult Day Program | Organization | Adult Day Care Clinic/Center | Minneapolis, MN |
Verify this record
Cross-check NPI 1184622870 against the authoritative CMS record: view Ebenezer Society 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
What is the NPI number for Ebenezer Society?
Who is the authorized official for Ebenezer Society?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-13.