Benevolent Healthcare Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BENEVOLENT HEALTHCARE SERVICES, LLC

Practice address

1769 Jamestown Rd Ste 101
Williamsburg, VA 23185-2310

Phone

(757) 719-9039

Fax

(866) 432-1706

NPI assigned

Feb 18, 2022

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peggy Jane Ridenour-Wolfe

Title

Office Administrator

Phone

(859) 221-8587

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Erika M Harris Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika M. Harris, PA-C

  • Internal Medicine Physician
  • Williamsburg, VA
  • NPI 1144569435
  Medicare reassignment

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1609521558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 FLOWERDEW CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853190",
            "telephone_number": "910-850-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852310",
            "telephone_number": "757-719-9039",
            "fax_number": "866-432-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "RIDENOUR-WOLFE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "859-221-8587"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTIONER NPI",
            "identifier": "1144569435",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144569435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erika M Harris",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Leann Bennett
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• Internal Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.