Provider Demographics
NPI:1215608310
Name:BLESSINGCARE CORPORATION
Entity type:Organization
Organization Name:BLESSINGCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-285-2113
Mailing Address - Street 1:640 W WASHINGTON ST RM 2012
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62363-1350
Mailing Address - Country:US
Mailing Address - Phone:217-285-5088
Mailing Address - Fax:217-285-5093
Practice Address - Street 1:640 W WASHINGTON ST RM 2012
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-1350
Practice Address - Country:US
Practice Address - Phone:217-285-5088
Practice Address - Fax:217-285-5093
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSINGCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy