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Ebenezer Society

Skilled Nursing Facility 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

1184622870

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Society
Other name <Unavail>
Practice address 2545 Portland Ave, Minneapolis, MN, 55404
Phone (612) 879-2262
Fax (612) 879-2316
Enumeration date Jul 7, 2005
Last updated in NPPES Sep 13, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 245587 (MN) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
810542100 Medicaid MN -
NA0018 Other MN UCARE
7100344 Other MN MEDICA DUAL

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

What is the NPI number for Ebenezer Society?
The NPI for Ebenezer Society is 1184622870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ebenezer Society?
NPPES lists Mark Thomas (President/Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-13.