Provider Demographics
NPI:1154588234
Name:BENNETT ASSIST LLC
Entity type:Organization
Organization Name:BENNETT ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNFA
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:908-415-8160
Mailing Address - Street 1:115 HAVENS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3060
Mailing Address - Country:US
Mailing Address - Phone:908-415-8160
Mailing Address - Fax:732-308-1544
Practice Address - Street 1:115 HAVENS MILL RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3060
Practice Address - Country:US
Practice Address - Phone:908-415-8160
Practice Address - Fax:732-308-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-17
Last Update Date:2008-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08550000261QA1903X
NJ26NO0855000282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No282NR1301XHospitalsGeneral Acute Care HospitalRural