Provider Demographics
NPI: | 1578453643 |
---|---|
Name: | SENIOR BLESSING HOMECARE |
Entity type: | Organization |
Organization Name: | SENIOR BLESSING HOMECARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | C.E.O. |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | ASHLEY |
Authorized Official - Middle Name: | DELL'SHEA |
Authorized Official - Last Name: | SENIOR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 248-416-7293 |
Mailing Address - Street 1: | 29777 TELEGRAPH RD STE 4200 |
Mailing Address - Street 2: | |
Mailing Address - City: | SOUTHFIELD |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48034-1303 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 248-979-1588 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 29777 TELEGRAPH RD STE 4200 |
Practice Address - Street 2: | |
Practice Address - City: | SOUTHFIELD |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48034-1303 |
Practice Address - Country: | US |
Practice Address - Phone: | 248-979-1588 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-07-08 |
Last Update Date: | 2025-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 376K00000X | Nursing Service Related Providers | Nurse's Aide | |
No | 376J00000X | Nursing Service Related Providers | Homemaker | |
No | 251E00000X | Agencies | Home Health |