Provider Demographics
NPI:1992120927
Name:BLESSING KEEPERS ADULT LIVING LLC
Entity type:Organization
Organization Name:BLESSING KEEPERS ADULT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-329-0731
Mailing Address - Street 1:3878 YORKLAND DR NW
Mailing Address - Street 2:10
Mailing Address - City:COMSTOCK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:49321-8426
Mailing Address - Country:US
Mailing Address - Phone:616-329-0731
Mailing Address - Fax:616-554-1372
Practice Address - Street 1:3878 YORKLAND DR NW
Practice Address - Street 2:10
Practice Address - City:COMSTOCK PARK
Practice Address - State:MI
Practice Address - Zip Code:49321-8426
Practice Address - Country:US
Practice Address - Phone:616-329-0731
Practice Address - Fax:616-554-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility