Provider Demographics
NPI:1548559156
Name:BLESSED HANDS REHABILITATION AND HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:BLESSED HANDS REHABILITATION AND HOME HEALTH SERVICES, LLC
Other - Org Name:BLESSED HANDS REHABILITATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:888-336-2040
Mailing Address - Street 1:12931 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5138
Mailing Address - Country:US
Mailing Address - Phone:888-336-2040
Mailing Address - Fax:888-538-2690
Practice Address - Street 1:12931 DEAN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5138
Practice Address - Country:US
Practice Address - Phone:888-336-2040
Practice Address - Fax:888-538-2690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04159251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD018546900Medicaid