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

Ebenezer House 1 LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1144928920

Ebenezer House 1 LLC is a Mental Illness Community Based Residential Treatment Facility in Queen Creek, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

35168 N Magnette Way
Queen Creek, AZ 85142-3916
Phone: (602) 609-8966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1144928920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tychiere Agbormah — Partener · (480) 740-6688
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address35168 N Magnette Way, Queen Creek, AZ 85142-3916

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