Provider Demographics
NPI:1518730431
Name:ARK OF BLESSINGS HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:ARK OF BLESSINGS HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:G
Authorized Official - Last Name:JUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-614-1510
Mailing Address - Street 1:11555 BISSONNET ST APT 1202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5505
Mailing Address - Country:US
Mailing Address - Phone:832-614-1510
Mailing Address - Fax:
Practice Address - Street 1:11555 BISSONNET ST APT 1202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5505
Practice Address - Country:US
Practice Address - Phone:832-614-1510
Practice Address - Fax:832-895-4105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty