Provider Demographics
NPI:1932254422
Name:BENEVOLENCE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BENEVOLENCE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-675-3751
Mailing Address - Street 1:14623 HAWTHORNE BLVD
Mailing Address - Street 2:401
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1581
Mailing Address - Country:US
Mailing Address - Phone:310-675-3751
Mailing Address - Fax:310-675-3733
Practice Address - Street 1:14623 HAWTHORNE BLVD
Practice Address - Street 2:401
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1581
Practice Address - Country:US
Practice Address - Phone:310-675-3751
Practice Address - Fax:310-675-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health