OrganizationActive
Ebenezer Etta Healthcare Services LLC
NPI 1629720750 · Home Health Agency · Lanham, MD
Ebenezer Etta Healthcare Services LLC is a Home Health Agency organization in Lanham, MD (NPI 1629720750).
Provider details
- NPI number
- 1629720750
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Estella Etta, Owner(240) 260-8882
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4200 Forbes Blvd Ste 1094200
Lanham, MD 20706-4342
Phone: (240) 353-6067
Fax: (667) 290-6344
Street-level locationGet directions
Mailing address
4200 Forbes Blvd Ste 1094200
Lanham, MD 20706-4342
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-01-20
- Certified
- 2022-01-12
Frequently asked questions
- What is Ebenezer Etta Healthcare Services LLC's NPI number?
- Ebenezer Etta Healthcare Services LLC's National Provider Identifier (NPI) is 1629720750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer Etta Healthcare Services LLC?
- Ebenezer Etta Healthcare Services LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Ebenezer Etta Healthcare Services LLC located?
- Ebenezer Etta Healthcare Services LLC's practice location on file with NPPES is 4200 Forbes Blvd Ste 1094200, Lanham, MD 20706-4342.
- What is Ebenezer Etta Healthcare Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Etta Healthcare Services LLC is (240) 353-6067.
- Who is the authorized official for Ebenezer Etta Healthcare Services LLC?
- The authorized official listed on Ebenezer Etta Healthcare Services LLC's NPPES record is Estella Etta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer Etta Healthcare Services LLC's NPI active?
- Yes — Ebenezer Etta Healthcare Services LLC's NPI (1629720750) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.