Provider Demographics
NPI:1720974959
Name:JZ BENTON GROUP LLC
Entity type:Organization
Organization Name:JZ BENTON GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-737-7583
Mailing Address - Street 1:1170 RIDGE RD
Mailing Address - Street 2:STE 282
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2977
Mailing Address - Country:US
Mailing Address - Phone:585-737-7583
Mailing Address - Fax:
Practice Address - Street 1:1170 RIDGE RD STE 282
Practice Address - Street 2:STE 282
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2977
Practice Address - Country:US
Practice Address - Phone:585-737-7583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)