Ebenezer Adult Day Program
NPI 1174508873 · Adult Day Care Clinic/Center · Minneapolis, MN
Ebenezer Adult Day Program is a Adult Day Care Clinic/Center organization in Minneapolis, MN (NPI 1174508873).
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
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
Mailing address
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ebenezer Adult Day Program's NPI number?
- Ebenezer Adult Day Program's National Provider Identifier (NPI) is 1174508873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer Adult Day Program?
- Ebenezer Adult Day Program is classified in the NPPES registry as Adult Day Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ebenezer Adult Day Program located?
- Ebenezer Adult Day Program's practice location on file with NPPES is 2545 Portland Ave, Minneapolis, MN 55404-4406.
- What is Ebenezer Adult Day Program's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Adult Day Program is (612) 879-2262.
- Who is the authorized official for Ebenezer Adult Day Program?
- The authorized official listed on Ebenezer Adult Day Program's NPPES record is Mark Thomas, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer Adult Day Program's NPI active?
- Yes — Ebenezer Adult Day Program's NPI (1174508873) is active in the NPPES registry as of the last update on 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.