Healthcare Provider Details

I. General information

NPI: 1497632988
Provider Name (Legal Business Name): BLESSINGZ ON BLESSINGZ INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 UNION AVE
FAIRFIELD CA
94533-6319
US

IV. Provider business mailing address

1550 VALLEY GLEN DR SUITE 113
DIXON CA
95620-3100
US

V. Phone/Fax

Practice location:
  • Phone: 707-366-5019
  • Fax:
Mailing address:
  • Phone: 707-366-5019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAHA L MACK
Title or Position: EXECUTIVE DIRECTOR
Credential: CHW
Phone: 707-366-5019