Ben Bennett Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEN BENNETT INC

Practice address

4070 Jurupa Ave
Riverside, CA 92506-2234

Phone

(951) 680-6500

Fax

(951) 680-6504

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce W Bennett

Title

President

Phone

(951) 680-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Care and Rehab Center Doing business as

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346222098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 JURUPA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062234",
            "telephone_number": "951-680-6500",
            "fax_number": "951-680-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 JURUPA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062234",
            "telephone_number": "951-680-6500",
            "fax_number": "951-680-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN BENNETT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-680-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05409G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Ann Sabio Beltran, RN
• Sebastian S Beltran
• Vinitha Rani Beltran, M.S. SLP
• Yuliana Beltran
• Susan Bemis
• Gabriel Benavides
• Rosemary Benavides
• Andrea Valentina Benavidez
• Deborah Denise Benavidez
• Ann Denise Bendroff, MA CCC SLP

• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.