MEDICARE: BLESSING HOME HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	2260545-2	MN

General Provider Information

NPI Number	:	1336267426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSING HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	6051 HALIFAX AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-2435
Country	:	US
Telephone Number	:	763-533-4021
Fax Number	:

Provider Business Practice Location Address
First Line	:	6051 HALIFAX AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-2435
Country	:	US
Telephone Number	:	763-533-4021
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. NGOZI FLORENCE MBIBI
Credential	:	RN
Telephone Number	:	612-205-6940

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	04/17/2008

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