Organization Active NPI

Benaiah Healthcare LLC

  • Developmental Disabilities Clinic/Center
  • Temple Terrace, FL
National Provider Identifier
1740916287
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BENAIAH HEALTHCARE LLC
Practice address
5896 E Fowler Ave
Temple Terrace, FL 33617-2312
Phone
(813) 474-8516
Fax
(813) 253-5301
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Folake Bamigbade, RN
Title
Registered Nurse
Phone
(813) 474-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

5896 E Fowler Ave
Temple Terrace, FL 33617-2312

Mailing address

5896 E Fowler Ave
Temple Terrace, FL 33617-2312
Phone (813) 474-8516

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2210950Benaiah Healthcare LLC5896 E Fowler Ave, Temple Terrace, FL 33617Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Locations

5896 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 251-5300

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1740916287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172312",
            "telephone_number": "813-474-8516",
            "fax_number": "813-253-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172312",
            "telephone_number": "813-474-8516",
            "fax_number": "813-253-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENAIAH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BAMIGBADE",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "813-474-8516",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.