Provider Demographics
NPI:1760854855
Name:DRIVEN BLESSINGS HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:DRIVEN BLESSINGS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEN PRACTICAL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:TERESE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:11/18/2011
Authorized Official - Phone:614-866-3661
Mailing Address - Street 1:1273 W OAKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7229
Mailing Address - Country:US
Mailing Address - Phone:614-866-3661
Mailing Address - Fax:
Practice Address - Street 1:1273 W OAKBROOK DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7229
Practice Address - Country:US
Practice Address - Phone:614-866-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147192164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty