Provider Demographics
NPI:1912469503
Name:BENCHMARK HOME CARE, INC
Entity type:Organization
Organization Name:BENCHMARK HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-706-1423
Mailing Address - Street 1:8013 JANES AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4388
Mailing Address - Country:US
Mailing Address - Phone:630-706-1423
Mailing Address - Fax:331-998-2997
Practice Address - Street 1:8013 JANES AVE APT 2
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-4388
Practice Address - Country:US
Practice Address - Phone:630-706-1423
Practice Address - Fax:331-998-2997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3001783OtherPRIVATE PAY