Healthcare Provider Details

I. General information

NPI: 1124889480
Provider Name (Legal Business Name): SIMPLY BLESSED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 BROOKHAVEN DR
WHEELERSBURG OH
45694-9018
US

IV. Provider business mailing address

2720 BROOKHAVEN DR
WHEELERSBURG OH
45694-9018
US

V. Phone/Fax

Practice location:
  • Phone: 813-814-1153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBIN HUBBERT
Title or Position: CEO
Credential:
Phone: 727-688-0809