Provider Demographics
NPI:1417445651
Name:BLESSINGS4EVER HOME CARE AGENCY OF FLORIDA LLC
Entity Type:Organization
Organization Name:BLESSINGS4EVER HOME CARE AGENCY OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-773-8501
Mailing Address - Street 1:17221 CAMELOT CT UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7284
Mailing Address - Country:US
Mailing Address - Phone:813-773-8501
Mailing Address - Fax:813-792-0201
Practice Address - Street 1:17221 CAMELOT CT UNIT 101
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7284
Practice Address - Country:US
Practice Address - Phone:813-773-8501
Practice Address - Fax:813-792-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994702251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health