OrganizationActive
Ebenezer Healthcare Services, Inc.
NPI 1669874673 · In Home Supportive Care Agency · Norcross, GA
Provider details
- NPI number
- 1669874673
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Myung Song, Owner(404) 483-6493
- License
- 067-R-1183 (GA)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4405 International Blvd
Suite B101
Norcross, GA 30093-3019
Phone: (770) 806-0009
Fax: (770) 806-0100
Street-level locationGet directions
Mailing address
4405 International Blvd
Norcross, GA 30093-3019
Registry dates
- Enumerated
- 2014-09-22
- Last updated
- 2016-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.