Provider Demographics
NPI:1346540861
Name:BENMAX HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:BENMAX HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXACUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NNKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-460-8638
Mailing Address - Street 1:7835 EASTERN AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4825
Mailing Address - Country:US
Mailing Address - Phone:202-460-8638
Mailing Address - Fax:
Practice Address - Street 1:7835 EASTERN AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4825
Practice Address - Country:US
Practice Address - Phone:202-460-8638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-31
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0262251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care