Healthcare Provider Details

I. General information

NPI: 1629905542
Provider Name (Legal Business Name): BENEVOLENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 GRAND RIVER DR
SACRAMENTO CA
95831-4421
US

IV. Provider business mailing address

1205 GRAND RIVER DR
SACRAMENTO CA
95831-4421
US

V. Phone/Fax

Practice location:
  • Phone: 916-228-4601
  • Fax: 916-376-7659
Mailing address:
  • Phone: 916-228-4601
  • Fax: 916-376-7659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: ELAINE TOLENTINO
Title or Position: OWNER AND ADMINISTRATOR
Credential:
Phone: 209-450-6530