Healthcare Provider Details

I. General information

NPI: 1164273603
Provider Name (Legal Business Name): BENEVOLENT CARE AND LOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 BLACKLICK EASTERN RD STE 130
PICKERINGTON OH
43147-7702
US

IV. Provider business mailing address

10400 BLACKLICK EASTERN RD STE 130
PICKERINGTON OH
43147-7702
US

V. Phone/Fax

Practice location:
  • Phone: 614-537-3979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHYANN LEMONS
Title or Position: OWNER/DOO
Credential:
Phone: 614-537-3979