Provider Demographics
NPI:1760439368
Name:BLESSED HOME HEALTH CARE AND STAFFING SERVICES, INC.
Entity Type:Organization
Organization Name:BLESSED HOME HEALTH CARE AND STAFFING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOROGE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, BS
Authorized Official - Phone:316-612-9422
Mailing Address - Street 1:PO BOX 3973
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3973
Mailing Address - Country:US
Mailing Address - Phone:316-612-9422
Mailing Address - Fax:
Practice Address - Street 1:549 N ESTELLE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4634
Practice Address - Country:US
Practice Address - Phone:316-612-9422
Practice Address - Fax:316-612-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA087090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100640600BNCMedicaid