Provider Demographics
NPI:1457646390
Name:SON-GRACE INC T/A BLESSED HOPE HOME CARE SERVICES
Entity Type:Organization
Organization Name:SON-GRACE INC T/A BLESSED HOPE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:OLAJUMOKE
Authorized Official - Last Name:AKINFE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-444-8133
Mailing Address - Street 1:7122 HARFORD RD STE 2
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7741
Mailing Address - Country:US
Mailing Address - Phone:410-444-8133
Mailing Address - Fax:410-444-5685
Practice Address - Street 1:7122 HARFORD RD STE 2
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7741
Practice Address - Country:US
Practice Address - Phone:410-444-8133
Practice Address - Fax:410-444-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2823251E00000X
MD56590136-00253Z00000X
MD3651061-00253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3651061-00Other4168038-00