Provider Demographics
NPI:1518539014
Name:BLESSED HOMECARE OF TEXAS, LLC
Entity Type:Organization
Organization Name:BLESSED HOMECARE OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-0WNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-659-3145
Mailing Address - Street 1:985 IH 10 N STE 110F
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-4815
Mailing Address - Country:US
Mailing Address - Phone:409-659-3145
Mailing Address - Fax:409-554-0804
Practice Address - Street 1:985 IH 10 N STE 110F
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-4815
Practice Address - Country:US
Practice Address - Phone:409-659-3145
Practice Address - Fax:409-554-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty