EBENEZER 24-HR RESIDENTIAL SERVICE LLC – NPI #1912850488
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Health Care Provider Taxonomy Code for Nursing Care

EBENEZER 24-HR RESIDENTIAL SERVICE LLC is a nursing car agency located in MILWAUKIE, OR. NPPES has assigned the NPI number 1912850488 to EBENEZER 24-HR RESIDENTIAL SERVICE LLC on February 16, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 251J00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Care.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EBENEZER 24-HR RESIDENTIAL SERVICE LLC below.

NPI Profile for
EBENEZER 24-HR RESIDENTIAL SERVICE LLC

NPI Number
1912850488
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EBENEZER 24-HR RESIDENTIAL SERVICE LLC
Primary location
4711 SE LAKE RD
MILWAUKIE, OR 97222-4745
Phone: (971) 678-2102 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIYA WAKJIRA
OWNER
Phone: (971) 678-2102
Updated
Certification Date
Feb 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251J00000X
- Nursing Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.