Provider Demographics
NPI:1164298253
Name:BENEVOLENT CARE LLC
Entity Type:Organization
Organization Name:BENEVOLENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:472-202-1342
Mailing Address - Street 1:2215 MURCHISON RD STE F
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3567
Mailing Address - Country:US
Mailing Address - Phone:472-202-1342
Mailing Address - Fax:
Practice Address - Street 1:2215 MURCHISON RD STE F
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3567
Practice Address - Country:US
Practice Address - Phone:472-202-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care