Healthcare Provider Details

I. General information

NPI: 1558974436
Provider Name (Legal Business Name): BLESS HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3856 PETERSON ST
NORFOLK VA
23513-4254
US

IV. Provider business mailing address

824 NORVIEW AVE
NORFOLK VA
23509-1560
US

V. Phone/Fax

Practice location:
  • Phone: 757-793-6655
  • Fax:
Mailing address:
  • Phone: 757-401-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: SERITA M SMITH
Title or Position: OWNER
Credential:
Phone: 757-401-2662