Provider Demographics
NPI:1205688603
Name:BENEVOLENT HANDS HEALTH CARE LLC
Entity type:Organization
Organization Name:BENEVOLENT HANDS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-442-4746
Mailing Address - Street 1:851 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRUITDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36539-6004
Mailing Address - Country:US
Mailing Address - Phone:251-442-4746
Mailing Address - Fax:
Practice Address - Street 1:851 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FRUITDALE
Practice Address - State:AL
Practice Address - Zip Code:36539-6004
Practice Address - Country:US
Practice Address - Phone:251-442-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care