# EBENEZER HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ebenezer Healthcare Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568261378
- **Authorized official:** COMFORT TUMI ADEWALE (NURSING DIRECTOR)
- **Authorized official phone:** (919) 607-9368

## Contact information

- **Practice address:** 109 E LEE AVE, VINTON, VA 24179-2517
- **Practice address phone:** (931) 266-7718
- **Mailing address:** 148 CLUBHOUSE DR APT 29, HOLLINS, VA 24019-6134
- **Mailing address phone:** (931) 266-7718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2025
- **Last updated:** 07/25/2025