Provider Demographics
NPI:1962915769
Name:IT'S A BLESSING HOME CARE LLC
Entity type:Organization
Organization Name:IT'S A BLESSING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-280-6279
Mailing Address - Street 1:52 OLD HAMPTON LN STE F
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4196
Mailing Address - Country:US
Mailing Address - Phone:314-280-6279
Mailing Address - Fax:
Practice Address - Street 1:52 OLD HAMPTON LN STE F
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4196
Practice Address - Country:US
Practice Address - Phone:314-280-6279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care