Healthcare Provider Details

I. General information

NPI: 1801702709
Provider Name (Legal Business Name): BLESSED AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 BUSHNELL PLZ STE 103
BUSHNELL FL
33513-6122
US

IV. Provider business mailing address

4406 CR 317B
BUSHNELL FL
33513-4108
US

V. Phone/Fax

Practice location:
  • Phone: 352-603-8947
  • Fax:
Mailing address:
  • Phone: 352-603-8947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ISANIE SACHE SURRATT
Title or Position: OWNER
Credential: BC
Phone: 352-406-4939