MEDICARE: BLESSINGS TREATMENT AND RECOVERY CENTER 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	261QC1500X	Community Health Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962904409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSINGS TREATMENT AND RECOVERY CENTER LLC

Provider Business Mailing Address
First Line	:	5319 GRAND BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652
Country	:	US
Telephone Number	:	727-220-2422
Fax Number	:	727-264-0462

Provider Business Practice Location Address
First Line	:	5319 GRAND BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652
Country	:	US
Telephone Number	:	727-220-2422
Fax Number	:	727-264-0462

Authorized Official
Title or Position	:	CEO
Name	:	KEVIN SIMMONS
Credential	:
Telephone Number	:	727-220-2422

Provider Enumeration Date	:	03/01/2018
Last Update Date	:	11/04/2025

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