Healthcare Provider Details

I. General information

NPI: 1356139109
Provider Name (Legal Business Name): BENTTELLA INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10886 131ST AVE N
CHAMPLIN MN
55316-1139
US

IV. Provider business mailing address

10886 131ST AVE N
CHAMPLIN MN
55316-1139
US

V. Phone/Fax

Practice location:
  • Phone: 763-528-5017
  • Fax:
Mailing address:
  • Phone: 763-528-5017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY AKINSHOWON
Title or Position: OWNER/CEO
Credential:
Phone: 763-528-5017