Healthcare Provider Details

I. General information

NPI: 1992673289
Provider Name (Legal Business Name): JESUS BLESS FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 WILLIS AVE
MINEOLA NY
11501-2671
US

IV. Provider business mailing address

22713 113TH DR
QUEENS VILLAGE NY
11429-2722
US

V. Phone/Fax

Practice location:
  • Phone: 800-593-1303
  • Fax:
Mailing address:
  • Phone: 800-593-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DURRAINE DUNN
Title or Position: COO
Credential:
Phone: 516-467-6071