Provider Demographics
NPI:1437819042
Name:BENI HOME HEALTH LLC
Entity Type:Organization
Organization Name:BENI HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMONDE
Authorized Official - Middle Name:B
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-405-0695
Mailing Address - Street 1:817 SONGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-2587
Mailing Address - Country:US
Mailing Address - Phone:904-405-0695
Mailing Address - Fax:
Practice Address - Street 1:817 SONGBIRD DR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-2587
Practice Address - Country:US
Practice Address - Phone:904-405-0695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care