Healthcare Provider Details

I. General information

NPI: 1407600877
Provider Name (Legal Business Name): A BLESSING HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/14/2024
Certification Date: 04/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E GOLF RD STE 950
SCHAUMBURG IL
60173-5034
US

IV. Provider business mailing address

1900 E GOLF RD STE 950
SCHAUMBURG IL
60173-5034
US

V. Phone/Fax

Practice location:
  • Phone: 847-939-6036
  • Fax: 847-939-6029
Mailing address:
  • Phone: 847-939-6036
  • Fax: 847-939-6029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANAVIA WARE
Title or Position: CEO
Credential:
Phone: 773-615-8495