MEDICARE: BLESSES AND FAITH HOME HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1457624405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSES AND FAITH HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	2219 HORNSBY BND
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-3694
Country	:	US
Telephone Number	:	210-281-8949
Fax Number	:	210-281-8949

Provider Business Practice Location Address
First Line	:	2219 HORNSBY BND
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-3694
Country	:	US
Telephone Number	:	210-281-8949
Fax Number	:	210-281-8949

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TONYA INEZ DARENSBOURG
Credential	:
Telephone Number	:	210-281-8949

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	02/21/2012

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