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

Ebenezer LLC

Organization Nursing Care Agency · NPI 1578402939

Ebenezer LLC is a Nursing Care Agency in Fairview, Oregon. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4055 NE 218th Ave
Fairview, OR 97024-8778
Phone: (240) 423-5267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1578402939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethel Tadesse — Director · (240) 423-5267
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address4055 Ne 218th Ave, Fairview, OR 97024-8778