MEDICARE: BLESSED HOME HEALTH CARE AGENCY, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841562378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSED HOME HEALTH CARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	2735 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3275
Country	:	US
Telephone Number	:	567-315-8786
Fax Number	:	567-315-8796

Provider Business Practice Location Address
First Line	:	2735 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3275
Country	:	US
Telephone Number	:	567-315-8786
Fax Number	:	567-315-8796

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KELLY NAYPAUER
Credential	:
Telephone Number	:	567-315-8786

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	08/01/2024

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