Provider Demographics
NPI:1487389300
Name:ATLANTA BLESSED HOUSE CAREGIVER LLC
Entity type:Organization
Organization Name:ATLANTA BLESSED HOUSE CAREGIVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:IYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-274-6228
Mailing Address - Street 1:3710 ANSLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6434
Mailing Address - Country:US
Mailing Address - Phone:845-274-6228
Mailing Address - Fax:
Practice Address - Street 1:3710 ANSLEY PARK DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6434
Practice Address - Country:US
Practice Address - Phone:845-274-6228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health