Healthcare Provider Details

I. General information

NPI: 1134858558
Provider Name (Legal Business Name): BLESSING HANDS HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E TILLMAN RD STE C
FORT WAYNE IN
46816-1080
US

IV. Provider business mailing address

223 E TILLMAN RD
FORT WAYNE IN
46816-1079
US

V. Phone/Fax

Practice location:
  • Phone: 816-807-8239
  • Fax: 260-387-7649
Mailing address:
  • Phone: 816-807-8239
  • Fax:

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

VIII. Authorized Official

Name: ZU BEIN
Title or Position: OWNER
Credential:
Phone: 816-807-8239