Provider Demographics
NPI:1164220661
Name:BENEVIN HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:BENEVIN HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SCHOLASTICA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:CHIDUME
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:816-237-6259
Mailing Address - Street 1:8701 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-5400
Mailing Address - Country:US
Mailing Address - Phone:816-237-6259
Mailing Address - Fax:
Practice Address - Street 1:8701 NEWTON AVE APT 302
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64138-5452
Practice Address - Country:US
Practice Address - Phone:816-237-6259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care