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NPI Code Detail

MEDICARE: BLESSED ASSURANCE HOMEHEALTH CARE, INC.

MEDICARE: BLESSED ASSURANCE HOMEHEALTH CARE, INC.
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
1251E00000XHome Health Agency014854TX

General Provider Information

NPI Number : 1760754618
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLESSED ASSURANCE HOMEHEALTH CARE, INC.
Provider Business Mailing Address
First Line : 11231 HIGHWAY 150
Second Line : SUITE A
City : SHEPHERD
State : TX
Zip : 77371-2961
Country : US
Telephone Number : 936-585-4519
Fax Number : 936-585-4772
Provider Business Practice Location Address
First Line : 11231 HIGHWAY 150
Second Line : SUITE A
City : SHEPHERD
State : TX
Zip : 77371-2961
Country : US
Telephone Number : 936-585-4519
Fax Number : 936-585-4772
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MS. SHERI TAJUDEEN
Credential : RN
Telephone Number : 936-585-4519
Provider Enumeration Date : 02/07/2012
Last Update Date : 12/04/2015

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Directions to “BLESSED ASSURANCE HOMEHEALTH CARE, INC. ” Practice Location

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