Elvina Benjamin
Individual provider Active NPI Home Health Aide · Bridgeport, CT
NPI 1003319617 · NPPES record last updated Mar 10, 2018
Key facts
- NPI
- 1003319617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2600 Park Ave Unit 8W
Bridgeport, CT 06604-1321 - Phone
- (203) 523-9969
- NPI assigned
- Mar 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker |
376J00000X | |||
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
2600 Park Ave Unit 8W
Bridgeport, CT 06604-1321
Mailing address
2600 Park Ave Unit 8W
Bridgeport, CT 06604-1321
Phone (203) 523-9969
Other providers in Bridgeport, CT
- Steven Lewis Belmont
- Glenn John Buenviaje Beloso
- Jailawu Ben
- Holly A Benedetto
- Jaimee A Benes Dettmer
- Marissa Benvenuto
- James Patrick Berg
- Deborah Berger
- Ashlyn Berich
- Kieve M Berkwits
All providers in Bridgeport, CT · Home Health Aide in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.