Provider Demographics
NPI:1679950331
Name:BENITA HOMECARE, INC
Entity type:Organization
Organization Name:BENITA HOMECARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-898-4311
Mailing Address - Street 1:1602 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1108
Mailing Address - Country:US
Mailing Address - Phone:713-898-4311
Mailing Address - Fax:713-944-4224
Practice Address - Street 1:1602 HAZEL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1108
Practice Address - Country:US
Practice Address - Phone:713-898-4311
Practice Address - Fax:713-944-4224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health