Provider Demographics
NPI:1174734123
Name:BLESSED HOME HEALTH SERVICES
Entity type:Organization
Organization Name:BLESSED HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKUKORO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-783-7703
Mailing Address - Street 1:12102 PINE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071
Mailing Address - Country:US
Mailing Address - Phone:713-783-7703
Mailing Address - Fax:713-783-7519
Practice Address - Street 1:12102 PINE MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071
Practice Address - Country:US
Practice Address - Phone:713-783-7703
Practice Address - Fax:713-783-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011190251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health