Provider Demographics
NPI:1154145316
Name:BEN NORTH HEALTHCARE INC
Entity type:Organization
Organization Name:BEN NORTH HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAZUWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-768-4117
Mailing Address - Street 1:27410 BRAYDEN HILL TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5116
Mailing Address - Country:US
Mailing Address - Phone:281-768-4117
Mailing Address - Fax:281-652-5778
Practice Address - Street 1:27410 BRAYDEN HILL TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5116
Practice Address - Country:US
Practice Address - Phone:281-768-4117
Practice Address - Fax:281-652-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based