Ebenezer House, LLC
NPI 1891262556 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Ebenezer House, LLC is a Mental Illness Community Based Residential Treatment Facility organization in Phoenix, AZ (NPI 1891262556).
Provider details
- NPI number
- 1891262556
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nigel Santiago, Chief Executive Officer(602) 686-3318
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
7 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)
- Former legal business name
- Ebenezer House
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2018-10-30
Frequently asked questions
- What is Ebenezer House, LLC's NPI number?
- Ebenezer House, LLC's National Provider Identifier (NPI) is 1891262556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer House, LLC?
- Ebenezer House, LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ebenezer House, LLC located?
- Ebenezer House, LLC's practice location on file with NPPES is 4055 N 77th Dr, Phoenix, AZ 85033-3618.
- What is Ebenezer House, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer House, LLC is (602) 686-3318.
- Who is the authorized official for Ebenezer House, LLC?
- The authorized official listed on Ebenezer House, LLC's NPPES record is Nigel Santiago, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer House, LLC's NPI active?
- Yes — Ebenezer House, LLC's NPI (1891262556) is active in the NPPES registry as of the last update on 2018-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.