Provider Demographics
NPI:1083946156
Name:BLESSINGCARE CORPORATION
Entity Type:Organization
Organization Name:BLESSINGCARE CORPORATION
Other - Org Name:ILLINI REGISTERED DIETITIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST DIRECTOR PATIENT FOOD SERVICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LDN
Authorized Official - Phone:217-223-8400
Mailing Address - Street 1:640 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62363-1350
Mailing Address - Country:US
Mailing Address - Phone:217-285-2113
Mailing Address - Fax:217-285-5102
Practice Address - Street 1:640 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-1350
Practice Address - Country:US
Practice Address - Phone:217-285-2113
Practice Address - Fax:217-285-5102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSINGCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty