Ebenezer House 1 LLC
NPI 1144928920 · Mental Illness Community Based Residential Treatment Facility · Queen Creek, AZ
Ebenezer House 1 LLC is a Mental Illness Community Based Residential Treatment Facility organization in Queen Creek, AZ (NPI 1144928920).
Provider details
- NPI number
- 1144928920
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tychiere Agbormah, Partener(480) 740-6688
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Frequently asked questions
- What is Ebenezer House 1 LLC's NPI number?
- Ebenezer House 1 LLC's National Provider Identifier (NPI) is 1144928920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer House 1 LLC?
- Ebenezer House 1 LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ebenezer House 1 LLC located?
- Ebenezer House 1 LLC's practice location on file with NPPES is 35168 N Magnette Way, Queen Creek, AZ 85142-3916.
- What is Ebenezer House 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer House 1 LLC is (602) 609-8966.
- Who is the authorized official for Ebenezer House 1 LLC?
- The authorized official listed on Ebenezer House 1 LLC's NPPES record is Tychiere Agbormah, Partener. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer House 1 LLC's NPI active?
- Yes — Ebenezer House 1 LLC's NPI (1144928920) is active in the NPPES registry as of the last update on 2023-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.