Provider Demographics
NPI:1689471989
Name:BENEVIDA HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:BENEVIDA HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-777-7793
Mailing Address - Street 1:20970 NEW PROPER DR
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-2197
Mailing Address - Country:US
Mailing Address - Phone:641-777-7793
Mailing Address - Fax:832-905-9055
Practice Address - Street 1:20970 NEW PROPER DR
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-2197
Practice Address - Country:US
Practice Address - Phone:641-777-7793
Practice Address - Fax:832-905-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care