Provider Demographics
NPI:1790402964
Name:BLESSED CARE
Entity Type:Organization
Organization Name:BLESSED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMELIN
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN
Authorized Official - Phone:248-525-3424
Mailing Address - Street 1:720 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2401
Mailing Address - Country:US
Mailing Address - Phone:248-525-3424
Mailing Address - Fax:
Practice Address - Street 1:720 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-2401
Practice Address - Country:US
Practice Address - Phone:248-525-3424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child