Provider Demographics
NPI:1689175416
Name:A BLESSING FROM ABOVE HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:A BLESSING FROM ABOVE HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTRELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-377-0665
Mailing Address - Street 1:19 SINGER AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3654
Mailing Address - Country:US
Mailing Address - Phone:412-377-0665
Mailing Address - Fax:412-875-5627
Practice Address - Street 1:19 SINGER AVE APT 6
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3654
Practice Address - Country:US
Practice Address - Phone:412-377-0665
Practice Address - Fax:412-875-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA35963601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care