Provider Demographics
NPI:1730742891
Name:BLESSINGS TREATMENT AND RECOVERY CENTER LLC
Entity type:Organization
Organization Name:BLESSINGS TREATMENT AND RECOVERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-220-2422
Mailing Address - Street 1:5319 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4014
Mailing Address - Country:US
Mailing Address - Phone:727-220-2422
Mailing Address - Fax:727-264-0462
Practice Address - Street 1:6121 OHIO AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-2627
Practice Address - Country:US
Practice Address - Phone:727-220-2422
Practice Address - Fax:727-264-0462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKLAND TREATMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No283Q00000XHospitalsPsychiatric Hospital
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105211200Medicaid