Provider Demographics
NPI:1558974436
Name:BLESS HANDS HOME CARE LLC
Entity Type:Organization
Organization Name:BLESS HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-401-2662
Mailing Address - Street 1:824 NORVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1560
Mailing Address - Country:US
Mailing Address - Phone:757-401-2662
Mailing Address - Fax:
Practice Address - Street 1:3856 PETERSON ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-4254
Practice Address - Country:US
Practice Address - Phone:757-793-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization