Provider Demographics
NPI:1750167433
Name:BLESSED HOSPICE AND STAFFING AGENCY
Entity type:Organization
Organization Name:BLESSED HOSPICE AND STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MEGNOTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALEMAYEHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-338-2244
Mailing Address - Street 1:7702 LINDSEY DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8992
Mailing Address - Country:US
Mailing Address - Phone:469-338-2244
Mailing Address - Fax:
Practice Address - Street 1:12810 HILLCREST RD STE B-123
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1525
Practice Address - Country:US
Practice Address - Phone:469-338-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based