Provider Demographics
NPI:1023761384
Name:BLESSED HANDS OF FAITH LLC
Entity type:Organization
Organization Name:BLESSED HANDS OF FAITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-733-2666
Mailing Address - Street 1:3502 E 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-2206
Mailing Address - Country:US
Mailing Address - Phone:813-534-3241
Mailing Address - Fax:
Practice Address - Street 1:2104 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-1053
Practice Address - Country:US
Practice Address - Phone:813-733-2666
Practice Address - Fax:727-499-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based