Healthcare Provider Details

I. General information

NPI: 1386576957
Provider Name (Legal Business Name): BENMAR MEDICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 103
EUCLID OH
44117-2621
US

IV. Provider business mailing address

15925 VAN AKEN BLVD APT 305E
SHAKER HEIGHTS OH
44120-5383
US

V. Phone/Fax

Practice location:
  • Phone: 216-633-4100
  • Fax:
Mailing address:
  • Phone: 216-633-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELINDA SMITH
Title or Position: OWNER
Credential:
Phone: 216-633-4100