MEDICARE: BLESSED ASSURED IN-HOME CARE LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1528900826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSED ASSURED IN-HOME CARE LLC

Provider Business Mailing Address
First Line	:	280 BRIGHTON WAY
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30102-1157
Country	:	US
Telephone Number	:	762-379-9783
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 BRIGHTON WAY
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30102-1157
Country	:	US
Telephone Number	:	762-379-9783
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA COLLINS
Credential	:
Telephone Number	:	762-379-9783

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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