Provider Demographics
NPI:1437882792
Name:CARES OF BLESSINGS
Entity Type:Organization
Organization Name:CARES OF BLESSINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP-C/ NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:BLESSINGS
Authorized Official - Middle Name:
Authorized Official - Last Name:FANKA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-C
Authorized Official - Phone:214-394-0114
Mailing Address - Street 1:1815 EDWARDS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1825
Mailing Address - Country:US
Mailing Address - Phone:214-394-0114
Mailing Address - Fax:
Practice Address - Street 1:1815 EDWARDS CHURCH RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1825
Practice Address - Country:US
Practice Address - Phone:214-394-0114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX360329201Medicaid