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

Ebenezer House, LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1891262556

Ebenezer House, LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2018.

In the registry since
2018
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

4055 N 77th Dr
Phoenix, AZ 85033-3618
Phone: (602) 686-3318
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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 number1891262556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nigel Santiago — Chief Executive Officer · (602) 686-3318
Other names Ebenezer House
NPI enumeratedOctober 30, 2018
Last updated in NPPESOctober 30, 2018
Mailing address1364 N Constellation Way, Gilbert, AZ 85234-1458

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