Provider Demographics
NPI:1639775778
Name:BENMAX HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:BENMAX HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NNKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-449-3300
Mailing Address - Street 1:6400 GEORGIA AVE NW STE 12
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2953
Mailing Address - Country:US
Mailing Address - Phone:202-932-2020
Mailing Address - Fax:540-301-6036
Practice Address - Street 1:6400 GEORGIA AVE NW STE 12
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2953
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:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies