Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebenezer 24-Hr Residential Service LLC

Organization Nursing Care Agency · NPI 1912850488

Ebenezer 24-Hr Residential Service LLC is a Nursing Care Agency in Milwaukie, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4711 SE Lake Rd
Milwaukie, OR 97222-4745
Phone: (971) 678-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X

Record details

NPI number1912850488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiya Wakjira — Owner · (971) 678-2102
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address4711 Se Lake Rd, Milwaukie, OR 97222-4745

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