Provider Demographics
NPI:1407047400
Name:BLESSED HEALTHCARE INC
Entity Type:Organization
Organization Name:BLESSED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-494-0412
Mailing Address - Street 1:3952 BLUEBONNET DRIVE
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3952
Mailing Address - Country:US
Mailing Address - Phone:281-494-0412
Mailing Address - Fax:281-494-0413
Practice Address - Street 1:3952 BLUEBONNET DRIVE
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3952
Practice Address - Country:US
Practice Address - Phone:281-494-0412
Practice Address - Fax:281-494-0413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009181251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174553101Medicaid
TX457826Medicare Oscar/Certification