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

Ebenezer House D LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1417639980

Ebenezer House D LLC is an Intellectual and/or Developmental Disabilities 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

2846 W Mila Way
Queen Creek, AZ 85144-6700
Phone: (207) 239-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1417639980
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEbenezer House D LLC
Authorized official Claudine Kayitesi — Ceo · (207) 239-0971
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 2, 2023
Mailing address2846 W Mila Way, Queen Creek, AZ 85144-6700

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