Provider Demographics
NPI:1306542816
Name:BENK LLC
Entity type:Organization
Organization Name:BENK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-808-9872
Mailing Address - Street 1:19731 SHALLOW SHAFT LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4101
Mailing Address - Country:US
Mailing Address - Phone:913-526-0564
Mailing Address - Fax:
Practice Address - Street 1:19731 SHALLOW SHAFT LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4101
Practice Address - Country:US
Practice Address - Phone:913-526-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based