Organization
BENEVOLENCE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERONA DE'NAE BROOKS (OWNER)
(910) 382-0195
Entity
Organization
Contact information
Practice address
5114 WESTERN BLVD APT 1313, JACKSONVILLE, NC 28546-0034
(910) 382-0195
(910) 238-4152
Mailing address
5114 WESTERN BLVD APT 1313, JACKSONVILLE, NC 28546-0034
(910) 382-0195
(910) 238-4152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134934805
—
NC
05
—
40464074
—
NC
Enumeration date
02/10/2025
Last updated
08/24/2025
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