Provider Demographics
NPI:1962266031
Name:BLESSED HEALTH CARE, LLC-TRANSPORTATION
Entity type:Organization
Organization Name:BLESSED HEALTH CARE, LLC-TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEMOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADEJO
Authorized Official - Suffix:
Authorized Official - Credentials:MS COUNSELING ED
Authorized Official - Phone:240-887-5711
Mailing Address - Street 1:8317 SAGRAMORE ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-1651
Mailing Address - Country:US
Mailing Address - Phone:240-887-5711
Mailing Address - Fax:
Practice Address - Street 1:8317 SAGRAMORE ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-1651
Practice Address - Country:US
Practice Address - Phone:240-887-5711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSED HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)