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Ebenezer Healthcare Services, Inc.

In Home Supportive Care Agency in Norcross, GA · enumerated 2014 · authorized official Myung Song, Owner.

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

National Provider Identifier

1669874673

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Healthcare Services, Inc.
Practice address 4405 International Blvd, Suite B101, Norcross, GA, 30093
Fax (770) 806-0100
Enumeration date Sep 22, 2014
Last updated in NPPES Jun 24, 2016

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies · License 067-R-1183 (GA) Primary
261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities · License 067-R-1183 (GA) Secondary

Authorized official

Name Myung Song
Title Owner

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 → Validate an NPI →

Frequently asked questions

What type of organization is Ebenezer Healthcare Services, Inc.?
Ebenezer Healthcare Services, Inc. is registered in NPPES as a In Home Supportive Care Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-24.