Provider Demographics
NPI:1811518939
Name:BENTLEY ENTERPRISES, LLC
Entity type:Organization
Organization Name:BENTLEY ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-820-9942
Mailing Address - Street 1:6265 N NEVADA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3872
Mailing Address - Country:US
Mailing Address - Phone:816-820-9942
Mailing Address - Fax:660-717-2116
Practice Address - Street 1:208 E 5TH ST
Practice Address - Street 2:
Practice Address - City:MOUND CITY
Practice Address - State:MO
Practice Address - Zip Code:64470-1206
Practice Address - Country:US
Practice Address - Phone:660-717-2114
Practice Address - Fax:660-717-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health