Organization Active NPI

Benu Health Care Services,LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Hyattsville, MD
National Provider Identifier
1245565779
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BENU HEALTH CARE SERVICES,LLC
Practice address
6495 New Hampshire Ave Ste Ll033
Hyattsville, MD 20783-3299
Phone
(240) 353-9096
Fax
(301) 446-3562
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Nicholas Nchotaku Forka
Title
Ceo
Phone
(240) 353-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

6495 New Hampshire Ave Ste Ll033
Hyattsville, MD 20783-3299

Mailing address

6495 New Hampshire Ave Ste Ll033
Hyattsville, MD 20783-3299
Phone (240) 353-9096

National Provider Directory

National Provider Directory

Locations

6495 New Hampshire Ave
Ste LL033
Hyattsville, MD 20783
Phone (240) 353-9096

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1245565779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE STE LL033",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833299",
            "telephone_number": "240-353-9096",
            "fax_number": "301-446-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE STE LL033",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833299",
            "telephone_number": "240-353-9096",
            "fax_number": "301-446-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENU HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "FORKA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "NCHOTAKU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-353-9096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.