Benton Harbor Opco II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BENTON HARBOR OPCO II LLC

Practice address

1385 E Empire Ave
Benton Harbor, MI 49022-2037

Phone

(269) 925-0033

NPI assigned

Jul 24, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonid Berkovich

Title

Authorized Rep

Phone

(773) 704-6341

Specialties & licenses 1

Addresses

Other names 1

• Hallmark Living Benton Harbor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1144743907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E EMPIRE AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E EMPIRE AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222037",
            "telephone_number": "269-925-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON HARBOR OPCO II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "773-704-6341"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Living Benton Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hallmark Living Benton Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trenell D Bell
• Abdelwahad Bendamkila
• Justin L Bennett
• Amanda Cayo Bentley, DNP, FNP-C
• Benton Harbor Health Center PLLC
• Dena Berchin
• Kensey Case Bermingham, DPT
• Berrien Mental Health Authority
• Berrien Mental Health Authority
• Berrien Mental Health Authority

• Skilled Nursing Facility in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.