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

Ebenezer Healthcare Services, Inc

Organization In Home Supportive Care Agency · NPI 1669874673

Ebenezer Healthcare Services, Inc is an In Home Supportive Care Agency in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4405 International Blvd Ste B101
Norcross, GA 30093-3019
Phone: (770) 806-0009
Fax: (770) 806-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 067-R-1183 (GA)
Adult Day Care Clinic/Center Taxonomy 261QA0600X · Licence 067-R-1183 (GA)

Record details

NPI number1669874673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myung Song — Owner · (404) 483-6493
NPI enumeratedSeptember 22, 2014
Last updated in NPPESJune 24, 2016
Mailing address4405 International Blvd, Suite B101, Norcross, GA 30093-3019

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