Provider Demographics
NPI:1275362907
Name:A BLESSING PLACE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:A BLESSING PLACE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-442-7812
Mailing Address - Street 1:3571 CARVER DR
Mailing Address - Street 2:
Mailing Address - City:FORT VALLEY
Mailing Address - State:GA
Mailing Address - Zip Code:31030-6360
Mailing Address - Country:US
Mailing Address - Phone:478-442-7812
Mailing Address - Fax:
Practice Address - Street 1:3571 CARVER DR
Practice Address - Street 2:
Practice Address - City:FORT VALLEY
Practice Address - State:GA
Practice Address - Zip Code:31030-6360
Practice Address - Country:US
Practice Address - Phone:478-442-7812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care