Organization Active NPI

Benesha Home Care LLC

  • In Home Supportive Care Agency
  • South Portland, ME
National Provider Identifier
1669297669
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BENESHA HOME CARE LLC
Practice address
26 Rollins Way
South Portland, ME 04106-1945
Phone
(207) 352-8964
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mr. Bob Bibombe Mbuyi
Title
Ceo
Phone
(207) 352-8964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

26 Rollins Way
South Portland, ME 04106-1945

Mailing address

26 Rollins Way
South Portland, ME 04106-1945
Phone (207) 352-8964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1669297669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ROLLINS WAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061945",
            "telephone_number": "207-352-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROLLINS WAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061945",
            "telephone_number": "207-352-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENESHA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MBUYI",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "BIBOMBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-352-8964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.