Provider Demographics
NPI:1215746870
Name:BE A BLESSING SERVICES HOME CARE LLC
Entity type:Organization
Organization Name:BE A BLESSING SERVICES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHALIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-1118
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-0665
Mailing Address - Country:US
Mailing Address - Phone:813-900-1118
Mailing Address - Fax:
Practice Address - Street 1:10150 HIGHLAND MANOR DR STE 200-001
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9713
Practice Address - Country:US
Practice Address - Phone:813-900-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty