OrganizationActive
Ebenezer Adult Day Program
NPI 1174508873 · Adult Day Care Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1174508873
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Thomas, President/Ceo(612) 874-3460
- License
- 800713-2-ADC (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2545 Portland Ave
Minneapolis, MN 55404-4406
Phone: (612) 879-2262
Fax: (612) 879-2316
Street-level locationGet directions
Mailing address
2545 Portland Ave
Minneapolis, MN 55404-4406
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.