Kevin Bennett
Individual provider Active NPI Case Manager/Care Coordinator · Carson, CA
NPI 1285218677 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1285218677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 19503 Galway Ave
Carson, CA 90746-1923 - Phone
- (310) 817-5267
- NPI assigned
- May 11, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Home Care, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
19503 Galway Ave
Carson, CA 90746-1923
Mailing address
20695 S Western Ave Ste 132
Torrance, CA 90501-1834
Phone (424) 271-7414
Other providers in Carson, CA
- Behavioral Health Services, Inc.
- Alexander Cid Bello
- Kimberly Deguzman Ben
- Evagrio Pagkaliwangan Bencito
- Zita Chidimma Benjamin
- Lorilynn Ann Bennett
- Rebecca Ann Bennett
- Ryan Joshua Bentick
- Allen Berger
- Sofia Bernabe
All providers in Carson, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. 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.