Healthcare Provider Details

I. General information

NPI: 1467366211
Provider Name (Legal Business Name): BENEVOLENCE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 SPRING ST
MONROE NY
10950-3687
US

IV. Provider business mailing address

127 SPRING ST APT 205
MONROE NY
10950-3689
US

V. Phone/Fax

Practice location:
  • Phone: 914-424-0195
  • Fax:
Mailing address:
  • Phone: 914-424-0195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KAMEIKA ANTOINETTE WILLIAMS
Title or Position: CEO
Credential:
Phone: 929-323-6944