Provider Demographics
NPI:1497494017
Name:BLESSED HANDS HEALTH CARE LLC
Entity Type:Organization
Organization Name:BLESSED HANDS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRABOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:651-431-1061
Mailing Address - Street 1:8465 79TH ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-2036
Mailing Address - Country:US
Mailing Address - Phone:651-431-1061
Mailing Address - Fax:
Practice Address - Street 1:8465 79TH ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-2036
Practice Address - Country:US
Practice Address - Phone:651-431-1061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health