=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467366211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BENEVOLENCE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 127 SPRING ST
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10950-3687
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-424-0195
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 127 SPRING ST APT 205
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10950-3689
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-424-0195
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. KAMEIKA ANTOINETTE WILLIAMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 929-323-6944
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------