Provider Demographics
NPI:1861145443
Name:BLESSED HOME CARE
Entity type:Organization
Organization Name:BLESSED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAXMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-323-9936
Mailing Address - Street 1:1375 S COLUMBIA RD STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4015
Mailing Address - Country:US
Mailing Address - Phone:605-323-9936
Mailing Address - Fax:
Practice Address - Street 1:1375 S COLUMBIA RD STE C
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4015
Practice Address - Country:US
Practice Address - Phone:605-323-9936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty