Healthcare Provider Details

I. General information

NPI: 1588454953
Provider Name (Legal Business Name): KOBE BLESSING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12513 WOODSONG LN
BOWIE MD
20721-4225
US

IV. Provider business mailing address

12513 WOODSONG LN
BOWIE MD
20721-4225
US

V. Phone/Fax

Practice location:
  • Phone: 240-991-3265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006607
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHHA200006607
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: