OrganizationActive
Ebenezer LLC
NPI 1578402939 · Nursing Care Agency · Fairview, OR
Provider details
- NPI number
- 1578402939
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Bethel Tadesse, Director(240) 423-5267
Specialties & taxonomies
Agencies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4055 Ne 218th Ave
Fairview, OR 97024-8778
Phone: (240) 423-5267
Street-level locationGet directions
Mailing address
4055 Ne 218th Ave
Fairview, OR 97024-8778
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.