EBENEZER SOLACE CARE LLC – NPI #1649015330
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

EBENEZER SOLACE CARE LLC is a community based residential treatment facility located in MCKINNEY, TX. NPPES has assigned the NPI number 1649015330 to EBENEZER SOLACE CARE LLC on June 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 SOLACE CARE LLC below.

NPI Profile for
EBENEZER SOLACE CARE LLC

NPI Number
1649015330
Enumeration Date

(about 2 years 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 SOLACE CARE LLC
Primary location
2105 SUMMIT DR
MCKINNEY, TX 75071
Phone: (915) 328-2378 Fax:
Mailing address
5121 COLLIN MCKINNEY PKWY STE 500
MCKINNEY, TX 75070-1524
Phone: (915) 328-2378 Fax:
Organization Subpart
No
Authorized Official
AJIBOLA AFOLABI
OWNER
Phone: (915) 328-2378
Updated
Certification Date
Jun 17, 2024

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (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.