Provider Demographics
NPI:1083421770
Name:BLESSED ONES HOMECARE SERVICES, LLC
Entity type:Organization
Organization Name:BLESSED ONES HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:QUANDRA
Authorized Official - Middle Name:MESHANE
Authorized Official - Last Name:WHALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-321-9551
Mailing Address - Street 1:335 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-4426
Mailing Address - Country:US
Mailing Address - Phone:850-321-9551
Mailing Address - Fax:850-536-7616
Practice Address - Street 1:267 JOHN KNOX RD STE 102
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6692
Practice Address - Country:US
Practice Address - Phone:850-320-6652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care