Benton, Genora Michelle
Benton, Genora Michelle is an sole proprietor health care provider with primary practice located at 10209 N 22Nd St , Tampa FL 33612. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Agencies / In Home Supportive Care, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Physical Disabilities, Child, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Benton, Genora Michelle can be contacted via phone (813) 975-0280.Contact Information
Primary practice address
10209 N 22Nd St
Tampa FL 33612
Phone: (813) 975-0280
Fax: (813) 631-1429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | 6923844 | Florida |
| Nursing Service Related Providers / Adult Companion | 372600000X | 692384496 | Florida |
| Respite Care Facility / Respite Care | 385H00000X | ||
| Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | 235260 | Florida |
Profile Details
| NPI number | 1578753505 |
|---|---|
| LBN Legal business name | Benton, Genora Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Mar 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578753505 | NPPES |
| Florida | MEDICAID | 692384496 | |
| Florida | MEDICAID | 692384498 |
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