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Ebenezer Home of Tennessee, Inc.

Skilled Nursing Facility in Antioch, TN · enumerated 2006 · authorized official Celia Valdomar, President.

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

National Provider Identifier

1528120458

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Home of Tennessee, Inc.
Other name <Unavail>
Practice address 500 Hickory Hollow Ter, Antioch, TN, 37013
Phone (615) 731-7130
Fax (615) 731-0743
Enumeration date Dec 15, 2006
Last updated in NPPES Jan 8, 2019

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0000000051 (TN) Primary

Authorized official

Name Celia Valdomar
Title President
Phone (310) 995-2603

Other identifiers

Identifier Type State Issuer
0445170 Medicaid TN -
7440473 Medicaid TN -

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

Where is Ebenezer Home of Tennessee, Inc. located?
The practice location on file with NPPES is in Antioch, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-08.