Healthcare Provider Details
I. General information
NPI: 1710920129
Provider Name (Legal Business Name): BLESSINGCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2006
Last Update Date: 11/27/2023
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 W WASHINGTON ST
PITTSFIELD IL
62363-1360
US
IV. Provider business mailing address
321 W WASHINGTON ST
PITTSFIELD IL
62363-1360
US
V. Phone/Fax
- Phone: 217-285-9447
- Fax: 217-285-9448
- Phone: 217-285-9447
- Fax: 217-285-9448
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CONNIE
L.
SCHROEDER
Title or Position: PRESIDENT CEO
Credential:
Phone: 217-285-2113