Organization
BLESSED HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LEATHERMAN CNA (OWNER/DIRECTOR/MANAGER)
(615) 456-4013
Entity
Organization
Contact information
Practice address
219 EVERGREEN CIR, HENDERSONVILLE, TN 37075-2944
(615) 456-4013
Mailing address
219 EVERGREEN CIR, HENDERSONVILLE, TN 37075-2944
(615) 456-4013
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
671766
TN
305S00000X
Point of Service
671766
TN
311ZA0620X
Adult Care Home Facility
0000002538
TN
347C00000X
Private Vehicle
087330800
TN
385H00000X
Respite Care
0000002538
TN
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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