Healthcare Provider Details

I. General information

NPI: 1003399841
Provider Name (Legal Business Name): A BLESSING HAND HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N MAIN AVE
SCRANTON PA
18504-3304
US

IV. Provider business mailing address

220 N MAIN AVE
SCRANTON PA
18504-3304
US

V. Phone/Fax

Practice location:
  • Phone: 570-904-4142
  • Fax: 570-341-5092
Mailing address:
  • Phone: 570-904-4142
  • Fax: 570-341-5092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. DOROTHY ELIZABETH MINELLI
Title or Position: OWNER/PRES
Credential:
Phone: 570-904-4142