Provider Demographics
NPI:1528250982
Name:BLESSED HEALTHCARE PROFESSIONALS, INC
Entity type:Organization
Organization Name:BLESSED HEALTHCARE PROFESSIONALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:OWUSU
Authorized Official - Last Name:BANAHENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-926-9739
Mailing Address - Street 1:13885 HEDGEWOOD DR STE 317
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7932
Mailing Address - Country:US
Mailing Address - Phone:703-494-6014
Mailing Address - Fax:703-494-9097
Practice Address - Street 1:13885 HEDGEWOOD DR STE 317
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7932
Practice Address - Country:US
Practice Address - Phone:703-494-6014
Practice Address - Fax:703-494-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health