Blessed Health Care Provider Inc

LBN: Blessed Health Care Provider Inc
Blessed Health Care Provider Inc is an health care organization with primary practice located at 1768 Arrow Hwy Ste 103 , La Verne CA 91750-5335. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Blessed Health Care Provider Inc can be contacted via phone (626) 858-2319, or through Pineda, Evelina via phone (626) 858-2319.

Contact Information

Primary practice address
1768 Arrow Hwy Ste 103 La Verne CA 91750-5335
Phone: (626) 858-2319
Fax: (626) 858-8355
Website:
Map and Directions
Authorized official contact:
Name: Pineda, Evelina
Phone: (626) 858-2319

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1770770554
LBN Legal business name Blessed Health Care Provider Inc
DBA Doing business as
Authorized official Pineda, Evelina
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Oct 21st, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770770554 NPPES
Other 05D1070865 CLIA CERT OF WAIVER

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