Provider Demographics
NPI:1841592508
Name:BLESSING HANDS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:BLESSING HANDS HOME HEALTH, LLC
Other - Org Name:VITALUS HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:K
Authorized Official - Middle Name:CODY
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-968-2300
Mailing Address - Street 1:2727 ALLEN PKWY STE 1915
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-2177
Mailing Address - Country:US
Mailing Address - Phone:281-240-0749
Mailing Address - Fax:281-240-1335
Practice Address - Street 1:2727 ALLEN PKWY STE 1915
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-2177
Practice Address - Country:US
Practice Address - Phone:281-240-0749
Practice Address - Fax:281-240-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX018751251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherMEDICARE