Healthcare Provider Details

I. General information

NPI: 1467397596
Provider Name (Legal Business Name): BENWELL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 L ST NW SUITE 500
WASHINGTON DC
20036-4955
US

IV. Provider business mailing address

2001 L ST NW STE 500
WASHINGTON DC
20036-4955
US

V. Phone/Fax

Practice location:
  • Phone: 773-200-5655
  • Fax:
Mailing address:
  • Phone: 773-200-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BETRAND NYONG
Title or Position: CEO
Credential:
Phone: 773-200-5655