Provider Demographics
NPI:1942439930
Name:BENCO HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:BENCO HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUGUSTA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:OKORONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-495-2034
Mailing Address - Street 1:7802 TUSSENDO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3408
Mailing Address - Country:US
Mailing Address - Phone:281-495-2034
Mailing Address - Fax:281-495-2034
Practice Address - Street 1:7802 TUSSENDO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3408
Practice Address - Country:US
Practice Address - Phone:281-495-2034
Practice Address - Fax:281-495-2034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health