Ebenezer House D LLC
NPI 1417639980 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Queen Creek, AZ
Ebenezer House D LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Queen Creek, AZ (NPI 1417639980).
Provider details
- NPI number
- 1417639980
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Ebenezer House D LLC
- Organization subpart
- Yes
- Authorized official
- Claudine Kayitesi, Ceo(207) 239-0971
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
2 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
- 2023-08-03
- Last updated
- 2023-08-03
- Certified
- 2023-08-02
Frequently asked questions
- What is Ebenezer House D LLC's NPI number?
- Ebenezer House D LLC's National Provider Identifier (NPI) is 1417639980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer House D LLC?
- Ebenezer House D LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ebenezer House D LLC located?
- Ebenezer House D LLC's practice location on file with NPPES is 2846 W Mila Way, Queen Creek, AZ 85144-6700.
- What is Ebenezer House D LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer House D LLC is (207) 239-0971.
- Who is the authorized official for Ebenezer House D LLC?
- The authorized official listed on Ebenezer House D LLC's NPPES record is Claudine Kayitesi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer House D LLC's NPI active?
- Yes — Ebenezer House D LLC's NPI (1417639980) is active in the NPPES registry as of the last update on 2023-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.