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

Ebenezer Rest Home LLC

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1114551116

Ebenezer Rest Home LLC is an Assisted Living Facility (Behavioral Disturbances) in Triangle, Virginia. Registered with an NPI since 2020.

In the registry since
2020
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

18909 Red Oak Ln
Triangle, VA 22172-2122
Phone: (812) 447-2707
Show map & directions

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

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1114551116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Namulondo — Owner · (781) 244-7270
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address18909 Red Oak Ln, Triangle, VA 22172-2122