Healthcare Provider Details

I. General information

NPI: 1316326697
Provider Name (Legal Business Name): BLESSINGCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 11/27/2023
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E WASHINGTON ST
PITTSFIELD IL
62363-1436
US

IV. Provider business mailing address

1005 BROADWAY ST
QUINCY IL
62301-2834
US

V. Phone/Fax

Practice location:
  • Phone: 217-285-9447
  • Fax:
Mailing address:
  • Phone: 217-223-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0005132
License Number StateIL

VIII. Authorized Official

Name: KATHY HULL
Title or Position: CEO/PRESIDENT
Credential:
Phone: 217-223-8400