=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609854439
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLESSINGCARE CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2006
-----------------------------------------------------
Last Update Date | 11/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 640 W WASHINGTON ST
-----------------------------------------------------
City | PITTSFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62363-1350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-285-2113
-----------------------------------------------------
Fax | 217-285-2989
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 640 W WASHINGTON ST
-----------------------------------------------------
City | PITTSFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62363-1350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-285-2113
-----------------------------------------------------
Fax | 217-285-2989
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PRESIDENT
-----------------------------------------------------
Name | KATHY HULL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 217-285-2113
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 275N00000X
-----------------------------------------------------
Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
-----------------------------------------------------
License Number | 0005132
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------