Provider Demographics
NPI:1982815593
Name:BLESSED ASSURANCE SENIOR CARE SERVICES
Entity Type:Organization
Organization Name:BLESSED ASSURANCE SENIOR CARE SERVICES
Other - Org Name:THE GREEN BENCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SALIO-AN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-647-9090
Mailing Address - Street 1:601 49TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-7320
Mailing Address - Country:US
Mailing Address - Phone:727-328-1414
Mailing Address - Fax:727-328-8433
Practice Address - Street 1:601 49TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7320
Practice Address - Country:US
Practice Address - Phone:727-328-1414
Practice Address - Fax:727-328-8433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7245310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility