Provider Demographics
NPI:1275387979
Name:BLESSED HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:BLESSED HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOULANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES-TATE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-309-0959
Mailing Address - Street 1:PO BOX 6265
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-0265
Mailing Address - Country:US
Mailing Address - Phone:614-309-0959
Mailing Address - Fax:
Practice Address - Street 1:484 WILSON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1945
Practice Address - Country:US
Practice Address - Phone:614-309-0959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty