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Ebenezer Healthcare Services

In Home Supportive Care Agency in Norcross, GA · enumerated 2015 · authorized official Myung Song, Owner.

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

National Provider Identifier

1285005645

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Healthcare Services
Practice address 5380 Peachtree Industrial Blvd, Suite 247 Ab, Norcross, GA, 30071
Phone (470) 299-4564
Enumeration date Oct 12, 2015
Last updated in NPPES Oct 12, 2015

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies · License 067-R-1183 (GA) Primary

Authorized official

Name Myung Song
Title Owner
Phone 47029945464

Other identifiers

Identifier Type State Issuer
003160947A Medicaid GA -

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 Healthcare Services?
NPPES lists Myung Song (Owner) as the authorized official for this organization.
What is the NPI number for Ebenezer Healthcare Services?
The NPI for Ebenezer Healthcare Services is 1285005645, 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 2015-10-12.