Provider Demographics
NPI:1013801489
Name:BLESSED FAMILY HOME CARE LLC
Entity type:Organization
Organization Name:BLESSED FAMILY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MENDOZA PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-889-5828
Mailing Address - Street 1:17713 CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-2053
Mailing Address - Country:US
Mailing Address - Phone:402-889-5828
Mailing Address - Fax:
Practice Address - Street 1:17713 CHANDLER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-2053
Practice Address - Country:US
Practice Address - Phone:402-889-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty