Violet Benford
Individual provider Active NPI Registered Nurse · Fraser, MI
NPI 1295559599 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1295559599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704280463 (MI)
- Practice address
- 31574 Hayes Rd
Fraser, MI 48026-3611 - Phone
- (313) 574-1430
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704280463 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benford Personal Care Service LLC | Current |
Accepting new patients | |
| Transitional Adult Care | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704280463 | MI | |
| Registered Nurse | 163W00000X | 4704280463 | MI | Yes |
Addresses
Primary practice location
31574 Hayes Rd
Fraser, MI 48026-3611
Mailing address
31574 Hayes Rd
Fraser, MI 48026-3611
Phone (313) 574-1430
Other providers in Fraser, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. 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.