Healthcare Provider Details

I. General information

NPI: 1083946156
Provider Name (Legal Business Name): BLESSINGCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 11/27/2023
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W WASHINGTON ST
PITTSFIELD IL
62363-1350
US

IV. Provider business mailing address

640 W WASHINGTON ST
PITTSFIELD IL
62363-1350
US

V. Phone/Fax

Practice location:
  • Phone: 217-285-2113
  • Fax: 217-285-5102
Mailing address:
  • Phone: 217-285-2113
  • Fax: 217-285-5102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. GEORGIA A JANSSEN
Title or Position: ASST DIRECTOR PATIENT FOOD SERVICE
Credential: MS RD LDN
Phone: 217-223-8400