Provider Demographics
NPI:1588041966
Name:BLESSED CARE LLC
Entity Type:Organization
Organization Name:BLESSED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MELODY
Authorized Official - Last Name:WALLS-CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-242-9963
Mailing Address - Street 1:PO BOX 602614
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-0614
Mailing Address - Country:US
Mailing Address - Phone:216-242-9963
Mailing Address - Fax:
Practice Address - Street 1:1820 WEST 48H ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-0614
Practice Address - Country:US
Practice Address - Phone:216-242-9963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health