Provider Demographics
NPI:1699371807
Name:BENTHOL CONSULTING
Entity Type:Organization
Organization Name:BENTHOL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TROKON
Authorized Official - Middle Name:
Authorized Official - Last Name:GBADYU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-341-5930
Mailing Address - Street 1:6914 EARLSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-9700
Mailing Address - Country:US
Mailing Address - Phone:317-341-5930
Mailing Address - Fax:317-751-2410
Practice Address - Street 1:6914 EARLSWOOD DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-9700
Practice Address - Country:US
Practice Address - Phone:317-341-5930
Practice Address - Fax:317-751-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty