Provider Demographics
NPI: | 1083953418 |
---|---|
Name: | BLESSED HANDS:CATERING TO THE AGING &DISABLED |
Entity Type: | Organization |
Organization Name: | BLESSED HANDS:CATERING TO THE AGING &DISABLED |
Other - Org Name: | BLESSED HANDS HOME HEALTH CARE |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | CAO |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | SHEYLA |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | SANTANA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 484-529-1536 |
Mailing Address - Street 1: | 2203 PENN AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST LAWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19609-1699 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 484-529-1536 |
Mailing Address - Fax: | 610-340-4052 |
Practice Address - Street 1: | 2203 PENN AVE |
Practice Address - Street 2: | |
Practice Address - City: | WEST LAWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19609-1699 |
Practice Address - Country: | US |
Practice Address - Phone: | 484-529-1536 |
Practice Address - Fax: | 610-340-4052 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-05 |
Last Update Date: | 2020-01-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 251E00000X | Agencies | Home Health |