Organization Active NPI

Bennyanna Healthcare LLC

  • Home Health Registered Nurse
  • Brooklyn Park, MN
National Provider Identifier
1174454359
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
BENNYANNA HEALTHCARE LLC
Practice address
8500 Cherokee Dr N
Brooklyn Park, MN 55428-1915
Phone
(612) 409-3520
Fax
(763) 251-7770
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Mr. Benjamin Asek Nemoh Sr., REGISTERED NURSE
Title
Ceo/Owner
Phone
(612) 409-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

8500 Cherokee Dr N
Brooklyn Park, MN 55428-1915

Mailing address

12535 Guadalcanal Cir NE Unit F
Blaine, MN 55449-7455
Phone (612) 409-3520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1174454359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12535 GUADALCANAL CIR NE UNIT F",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497455",
            "telephone_number": "612-409-3520",
            "fax_number": "763-251-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 CHEROKEE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281915",
            "telephone_number": "612-409-3520",
            "fax_number": "763-251-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNYANNA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "NEMOH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ASEK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-409-3520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.