Provider Demographics
NPI:1821325234
Name:BENCHMARK HEALTHCARE GROUP, INC
Entity Type:Organization
Organization Name:BENCHMARK HEALTHCARE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-536-5365
Mailing Address - Street 1:1795 CLARKSON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4967
Mailing Address - Country:US
Mailing Address - Phone:636-536-5365
Mailing Address - Fax:636-536-4533
Practice Address - Street 1:1795 CLARKSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4967
Practice Address - Country:US
Practice Address - Phone:636-536-5365
Practice Address - Fax:636-536-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care