Provider Demographics
NPI:1689851966
Name:BLESSED AT HOME HEALTH CARE
Entity Type:Organization
Organization Name:BLESSED AT HOME HEALTH CARE
Other - Org Name:BLESSED AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VAN BIBBER
Authorized Official - Suffix:
Authorized Official - Credentials:RN/COS-C
Authorized Official - Phone:740-574-5667
Mailing Address - Street 1:11692 GALLIA PIKE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-8442
Mailing Address - Country:US
Mailing Address - Phone:740-574-5667
Mailing Address - Fax:740-574-5811
Practice Address - Street 1:11692 GALLIA PIKE RD
Practice Address - Street 2:SUITE C
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-8442
Practice Address - Country:US
Practice Address - Phone:740-574-5667
Practice Address - Fax:740-574-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health