Ebenezer Home of Tennessee, Inc.
NPI 1528120458 · Skilled Nursing Facility · Antioch, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebenezer Home of Tennessee, Inc. is a Skilled Nursing Facility organization in Antioch, TN (NPI 1528120458).
Provider details
- NPI number
- 1528120458
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Celia Valdomar, President(310) 995-2603
- License
- 0000000051 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Good Samaritan Health & Rehab Center
- Doing business as
- Good Samaritan Health & Rehab Center
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2019-01-08
Frequently asked questions
- What is Ebenezer Home of Tennessee, Inc.'s NPI number?
- Ebenezer Home of Tennessee, Inc.'s National Provider Identifier (NPI) is 1528120458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer Home of Tennessee, Inc.?
- Ebenezer Home of Tennessee, Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ebenezer Home of Tennessee, Inc. located?
- Ebenezer Home of Tennessee, Inc.'s practice location on file with NPPES is 500 Hickory Hollow Ter, Antioch, TN 37013-2115.
- What is Ebenezer Home of Tennessee, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Home of Tennessee, Inc. is (615) 731-7130.
- Does Ebenezer Home of Tennessee, Inc. accept Medicare?
- Ebenezer Home of Tennessee, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ebenezer Home of Tennessee, Inc.?
- The authorized official listed on Ebenezer Home of Tennessee, Inc.'s NPPES record is Celia Valdomar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer Home of Tennessee, Inc.'s NPI active?
- Yes — Ebenezer Home of Tennessee, Inc.'s NPI (1528120458) is active in the NPPES registry as of the last update on 2019-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.