EBEN EZER IN-HOME SERVICES (NPI# 1770105470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770105470 |
| Entity Type | Organization |
| Organization Name | EBEN EZER IN-HOME SERVICES |
| Practice Address |
122 Hospital Rd Brush CO 80723-1702 |
| Practice Telephone | 9708422861 |
| Mailing Telephone | 9708422861 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | LESLIE MASON (CFO) |
| Authorized Official Telephone | 9708422861 |
| Is Organization Subpart | Y |
| Parent Organization Name | EBEN EZER LUTHERAN CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000136956 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336348 | Eben Ezer In-home Services | Personal Emergency Response Attendant | 122 Hospital Rd, Brush, CO 80723-1702 | 2007-07-02 |
| Street Address |
122 HOSPITAL RD |
| City | BRUSH |
| State | CO |
| Zip Code | 80723-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852981 | Eben Ezer Lutheran Care Center | Skilled Nursing Facility | 122 Hospital Rd, Brush, CO 80723-1702 | 2005-06-21 |
| 1063924074 | Gregory Engbrecht | Speech-Language Pathologist | 122 Hospital Rd, Brush, CO 80723-1702 | 2017-10-31 |
| 1760770796 | Yolanda Jimenez Azimi | Physical Therapist | 122 Hospital Rd, Brush, CO 80723-1702 | 2011-07-11 |
| 1841508686 | Coral Noble | Speech-Language Pathologist | 122 Hospital Rd, Brush, CO 80723-1702 | 2010-09-14 |
| 1235336348 | Eben Ezer In-home Services | Personal Emergency Response Attendant | 122 Hospital Rd, Brush, CO 80723-1702 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366543639 | Therese A Gonzales | Dental Hygienist | 412 Edison, Brush, CO 80723 | 2006-09-26 |
| 1821056375 | Suzanne R Becker | Social Worker | 518 Curtis St, Brush, CO 80723 | 2006-05-03 |
| 1740242494 | Morgan County Dental Care PC | Dentist | 242 Cambridge St, Brush, CO 80723 | 2006-04-06 |
| 1598170532 | Landon Heckman | Dentist | 242 Cambridge St, Brush, CO 80723 | 2014-06-28 |
| 1861946832 | Colorado Dentistry for Children LLC | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2016-08-08 |
| 1609219757 | Carissa Molina | Dentist | 242 Cambridge St, Brush, CO 80723-1608 | 2013-04-09 |
| 1275734584 | Monty Carl Kingsley | Dentist | 242 Cambridge St, Suite 2, Brush, CO 80723-1608 | 2007-05-31 |
| 1841310737 | Ssc Brush Sunset Manor Operating Company LLC | Respite Care | 2200 Edison St, Brush, CO 80723-1609 | 2007-04-02 |
| 1548819147 | Juhee Yi | Speech-Language Pathologist | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-05 |
| 1194374009 | Lodina Marlene Weingardt | Physical Therapy Assistant | 2200 Edison St, Brush, CO 80723-1609 | 2019-09-04 |
| Find all providers in zip 80723 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435021 | Jason Todd Gregory | In Home Supportive Care | 2130 S Academy Blvd Ste 201, Colorado Springs, CO 80916-2473 | 2020-10-22 |
| 1366041295 | Laura Lee Bohlen | In Home Supportive Care | 321 Mayeda St, Brighton, CO 80601-4669 | 2020-10-21 |
| 1073112207 | Santa Fe Trail Senior Services Inc | In Home Supportive Care | 3720 Sinton Rd Ste 130, Colorado Springs, CO 80907-5085 | 2020-10-19 |
| 1225636186 | Hans Homecare Inc | In Home Supportive Care | 911 S Havana St Ste E, Aurora, CO 80012-3034 | 2020-10-13 |
| 1306444690 | Affirmative Home Care LLC | In Home Supportive Care | 7435 S Norfolk St, Aurora, CO 80016-1470 | 2020-10-09 |
| 1740887405 | Jackie Rae Hiner | In Home Supportive Care | 121 W Beech St, Lamar, CO 81052-2731 | 2020-10-06 |
| 1679170534 | Heart Home Health Inc | In Home Supportive Care | 200 Colorado Ave Apt 2105, Parachute, CO 81635-9615 | 2020-10-05 |
| 1972117554 | El Bethel House of Care Agency LLC | In Home Supportive Care | 25950 E 3rd Ave, Aurora, CO 80018-1635 | 2020-09-01 |
| 1346854171 | Colorado Springs Co Caregiving LLC | In Home Supportive Care | 6645 Delmonico Dr Ste 201, Colorado Springs, CO 80919-1892 | 2020-08-31 |
| 1003426990 | Ability Advocates LLC | In Home Supportive Care | 3620 N Saint Paul St, Denver, CO 80205-3650 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.