Provider Demographics
NPI:1225538499
Name:BENEVOLENT HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BENEVOLENT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUBSTITUTE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-394-7127
Mailing Address - Street 1:9721 W GREENWOOD TER
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3919
Mailing Address - Country:US
Mailing Address - Phone:414-446-5823
Mailing Address - Fax:414-446-5823
Practice Address - Street 1:9721 W GREENWOOD TER
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-3919
Practice Address - Country:US
Practice Address - Phone:414-446-5823
Practice Address - Fax:414-446-5823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle