Provider Demographics
NPI:1265232110
Name:BLESSED HEALTHCARE CORP
Entity type:Organization
Organization Name:BLESSED HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALIETE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEYRA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-342-2481
Mailing Address - Street 1:1215 SW 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3119
Mailing Address - Country:US
Mailing Address - Phone:305-342-2481
Mailing Address - Fax:800-603-8864
Practice Address - Street 1:1215 SW 90TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3119
Practice Address - Country:US
Practice Address - Phone:305-342-2481
Practice Address - Fax:800-603-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty