Provider Demographics
NPI:1811238686
Name:BESSIE'S BLESSED ASSISTED LIVING
Entity Type:Organization
Organization Name:BESSIE'S BLESSED ASSISTED LIVING
Other - Org Name:GOD'S CHANGE OF HANDS ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANGIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-216-9833
Mailing Address - Street 1:6643 W MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3160
Mailing Address - Country:US
Mailing Address - Phone:832-216-9833
Mailing Address - Fax:
Practice Address - Street 1:6643 W MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3160
Practice Address - Country:US
Practice Address - Phone:832-216-9833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility