MEDICARE: BENJAMIN HUYNH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1144184003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN HUYNH

Provider Business Mailing Address
First Line	:	5300 WAYNE ST APT C
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-3452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6147 PEBBLEBROOK LN
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-4572
Country	:	US
Telephone Number	:	440-652-5156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ BENJAMIN HUYNH ” Practice Location

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