Healthcare Provider Details

I. General information

NPI: 1811873151
Provider Name (Legal Business Name): ATALI BLESSED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36283 PARK PL
ROMULUS MI
48174-4058
US

IV. Provider business mailing address

36283 PARK PL
ROMULUS MI
48174-4058
US

V. Phone/Fax

Practice location:
  • Phone: 803-477-8020
  • Fax:
Mailing address:
  • Phone: 803-477-8020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ABDELHAKIM ATALI
Title or Position: OWNER
Credential:
Phone: 803-477-8020