Provider Demographics
NPI:1316599376
Name:BLESSED ASSURANCE, INC
Entity Type:Organization
Organization Name:BLESSED ASSURANCE, INC
Other - Org Name:BLESSED ASSURANCE SUPPORTIVE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUANISHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DORLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-394-5818
Mailing Address - Street 1:6258 SPARLING HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1438
Mailing Address - Country:US
Mailing Address - Phone:407-394-5818
Mailing Address - Fax:407-601-4024
Practice Address - Street 1:2755 BORDER LAKE RD STE 102-3
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4800
Practice Address - Country:US
Practice Address - Phone:407-394-5818
Practice Address - Fax:407-601-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017861600Medicaid