Provider Demographics
NPI:1972272128
Name:BENEVOLENT HOME CARE LLC
Entity Type:Organization
Organization Name:BENEVOLENT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:TONG
Authorized Official - Last Name:AYUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-972-0990
Mailing Address - Street 1:9196 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-7868
Mailing Address - Country:US
Mailing Address - Phone:937-972-0990
Mailing Address - Fax:937-637-5290
Practice Address - Street 1:9196 EASTBROOK DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7868
Practice Address - Country:US
Practice Address - Phone:937-972-0990
Practice Address - Fax:937-637-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health