Provider Demographics
NPI:1972394336
Name:BENSHEIMER, BRENDA LEE
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:LEE
Last Name:BENSHEIMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:MANILLA
Mailing Address - State:IN
Mailing Address - Zip Code:46150-0097
Mailing Address - Country:US
Mailing Address - Phone:317-750-4550
Mailing Address - Fax:
Practice Address - Street 1:71660 649 AVE
Practice Address - Street 2:
Practice Address - City:SHUBERT
Practice Address - State:NE
Practice Address - Zip Code:68437-6012
Practice Address - Country:US
Practice Address - Phone:317-750-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health