Provider Demographics
NPI:1497337679
Name:BLESSED HANDS HOME SERVICES
Entity Type:Organization
Organization Name:BLESSED HANDS HOME SERVICES
Other - Org Name:BLESSED HANDS HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SU-SAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-291-2494
Mailing Address - Street 1:5001 BRENTWOOD STAIR RD STE 202
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-2800
Mailing Address - Country:US
Mailing Address - Phone:682-291-2494
Mailing Address - Fax:817-582-9849
Practice Address - Street 1:5001 BRENTWOOD STAIR RD STE 202
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2800
Practice Address - Country:US
Practice Address - Phone:682-291-2494
Practice Address - Fax:817-582-9849
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BY GRACE ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-26
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care