Provider Demographics
NPI:1073257804
Name:BLESSINGS HOMEHEALTH SERVICES LLC
Entity Type:Organization
Organization Name:BLESSINGS HOMEHEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:NIKKO
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:762-215-3930
Mailing Address - Street 1:1924 ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-3904
Mailing Address - Country:US
Mailing Address - Phone:762-215-3930
Mailing Address - Fax:
Practice Address - Street 1:1924 ELLIS ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-3904
Practice Address - Country:US
Practice Address - Phone:762-215-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty