Provider Demographics
NPI:1811040231
Name:BLESSED HEALTHCARE INC
Entity Type:Organization
Organization Name:BLESSED HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHILEAKAM
Authorized Official - Middle Name:CHIDI
Authorized Official - Last Name:CHUKWUNYERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-217-0944
Mailing Address - Street 1:7201 BRIGHTON HILL LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8369
Mailing Address - Country:US
Mailing Address - Phone:919-219-0944
Mailing Address - Fax:919-217-0944
Practice Address - Street 1:7201 BRIGHTON HILL LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8369
Practice Address - Country:US
Practice Address - Phone:919-217-0944
Practice Address - Fax:919-217-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3562251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health