Provider Demographics
NPI:1346754736
Name:BENNIFER HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BENNIFER HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSEY
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:ETOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-620-9387
Mailing Address - Street 1:5496 WHITCOMB DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8714
Mailing Address - Country:US
Mailing Address - Phone:614-620-9387
Mailing Address - Fax:
Practice Address - Street 1:720 OHIO PIKE # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2147
Practice Address - Country:US
Practice Address - Phone:614-620-9387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty