Shontae S Benison
Clinic/Center, Adult Day Care in Parma, OH. Individual provider (NPI-1).
NPI number1669101267
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1669101267
- Entity type
- Individual (NPI-1)
- Name
- Shontae S Benison
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Dec 2, 2025
- Last updated
- Dec 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | OH | Yes |
| 251E00000X | Home Health | 3826HHN | OH | |
| 246YR1600X | Spec/Tech, Health Info, Registered Record Administrator | – | OH |
Practice location
9697 Brookpark RdParma, OH 44129-6811
Phone 440-625-6300 · Fax 440-625-6301
Mailing address
13212 Terminal AveCleveland, OH 44135-4814
Phone 440-625-6300 · Fax 440-625-6301
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