MEDICARE: BENCO HEALTHCARE SERVICES INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942439930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENCO HEALTHCARE SERVICES INC.

Provider Business Mailing Address
First Line	:	7802 TUSSENDO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3408
Country	:	US
Telephone Number	:	281-495-2034
Fax Number	:	281-495-2034

Provider Business Practice Location Address
First Line	:	7802 TUSSENDO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3408
Country	:	US
Telephone Number	:	281-495-2034
Fax Number	:	281-495-2034

Authorized Official
Title or Position	:	ADMINISTRATOR/DON
Name	:	MRS. AUGUSTA NGOZI OKORONKWO
Credential	:	R.N.
Telephone Number	:	281-495-2034

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	07/10/2009

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