Provider Demographics
NPI:1417784943
Name:RIVER OF BLESSING HOME LLC
Entity type:Organization
Organization Name:RIVER OF BLESSING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NAJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-556-2857
Mailing Address - Street 1:1838 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-1812
Mailing Address - Country:US
Mailing Address - Phone:614-556-2857
Mailing Address - Fax:
Practice Address - Street 1:1838 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1812
Practice Address - Country:US
Practice Address - Phone:614-556-2857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility