Provider Demographics
NPI:1851028484
Name:BLESSED HOME HEALTH CARE INC
Entity type:Organization
Organization Name:BLESSED HOME HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NZEPAH
Authorized Official - Middle Name:VANNISA
Authorized Official - Last Name:NGASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-517-0216
Mailing Address - Street 1:120 WANDA WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-6920
Mailing Address - Country:US
Mailing Address - Phone:469-719-3698
Mailing Address - Fax:469-719-3677
Practice Address - Street 1:2601 SCOTT AVE STE 604
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-2301
Practice Address - Country:US
Practice Address - Phone:469-719-3698
Practice Address - Fax:469-719-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health