Bencura, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

BENCURA, INC.

Practice address

125 Townpark Dr NW Ste 300
Kennesaw, GA 30144-5812

Phone

(855) 423-6287

Fax

(678) 669-1562

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Altha C SandovalNPI 1588954218

Title

Ceo

Phone

(855) 423-6287

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Altha C Sandoval, MA, CCC-SLP

  • Speech-Language Pathologist
  • Kennesaw, GA
  • NPI 1588954218
  NPD Authorized official

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1316237241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443231",
            "telephone_number": "855-423-6287",
            "fax_number": "678-669-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445812",
            "telephone_number": "855-423-6287",
            "fax_number": "678-669-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCURA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "ALTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-423-6287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Turpin Bell, NP
• Sally N Bell, NP-C
• Truman Mitchell Bell III, PHARMD
• Tyler Ray Bellack, OD
• Beloved Healthcare
• Shannon Worley Benefield, RN, IBCLC
• Stephen Corey Benjamin
• Kimberly Ann Bennett, L.P.C.
• Jennifer Anne Benson, PA C
• Rebecca Rae Bergert, LPC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.