Provider Demographics
NPI:1497073696
Name:BLESSED HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:BLESSED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEROGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-595-1879
Mailing Address - Street 1:62 ORLAND SQUARE DR
Mailing Address - Street 2:SUITE 006
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-6546
Mailing Address - Country:US
Mailing Address - Phone:708-595-1879
Mailing Address - Fax:
Practice Address - Street 1:62 ORLAND SQUARE DR
Practice Address - Street 2:SUITE 006
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-6546
Practice Address - Country:US
Practice Address - Phone:708-595-1879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health