Provider Demographics
NPI:1164273603
Name:BENEVOLENT CARE AND LOVE LLC
Entity Type:Organization
Organization Name:BENEVOLENT CARE AND LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOO
Authorized Official - Prefix:
Authorized Official - First Name:SHYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-537-3979
Mailing Address - Street 1:5256 HACKET DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5256 HACKET DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4604
Practice Address - Country:US
Practice Address - Phone:614-537-3979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health