Healthcare Provider Details

I. General information

NPI: 1811307937
Provider Name (Legal Business Name): BLESSED HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 PLYMOUTH AVE 3RD FLR
FALL RIVER MA
02721-1968
US

IV. Provider business mailing address

865 PLYMOUTH AVE
FALL RIVER MA
02721-1968
US

V. Phone/Fax

Practice location:
  • Phone: 508-933-5718
  • Fax:
Mailing address:
  • Phone: 508-933-5718
  • 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: STELLA P ALLI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 508-933-5718