Provider Demographics
NPI:1942921887
Name:OVERFLOW OF BLESSINGS, LLC
Entity Type:Organization
Organization Name:OVERFLOW OF BLESSINGS, LLC
Other - Org Name:OVERFLOW OF BLESSINGS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAVONGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-207-8715
Mailing Address - Street 1:17335 N HWY 329
Mailing Address - Street 2:
Mailing Address - City:REDDICK
Mailing Address - State:FL
Mailing Address - Zip Code:32686-2519
Mailing Address - Country:US
Mailing Address - Phone:352-207-8715
Mailing Address - Fax:
Practice Address - Street 1:17335 N HWY 329
Practice Address - Street 2:
Practice Address - City:REDDICK
Practice Address - State:FL
Practice Address - Zip Code:32686-2519
Practice Address - Country:US
Practice Address - Phone:352-207-8715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OVERFLOW OF BLESSINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-08
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health