Provider Demographics
NPI:1407978406
Name:BLESSING HOMES INC.
Entity Type:Organization
Organization Name:BLESSING HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEGUN
Authorized Official - Middle Name:IDOWU
Authorized Official - Last Name:OLUSESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-274-9597
Mailing Address - Street 1:4229 TIMBERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9560
Mailing Address - Country:US
Mailing Address - Phone:919-217-7884
Mailing Address - Fax:919-217-7894
Practice Address - Street 1:4229 TIMBERBROOK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-9560
Practice Address - Country:US
Practice Address - Phone:919-217-7884
Practice Address - Fax:919-217-7894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-647315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities