Organization Active NPI

Blessed Home Care Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bellevue, NE
National Provider Identifier
1013894526
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BLESSED HOME CARE LIVING LLC
Practice address
10118 Plymouth PT Apt 118-E
Bellevue, NE 68123-6119
Phone
(402) 507-0505
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanika GibbsNPI 1578457321
Title
Owner
Phone
(402) 507-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

10118 Plymouth PT Apt 118-E
Bellevue, NE 68123-6119

Mailing address

10118 Plymouth PT Apt 118-E
Bellevue, NE 68123-6119
Phone (402) 507-0505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1013894526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10118 PLYMOUTH PT APT 118-E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236119",
            "telephone_number": "402-507-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10118 PLYMOUTH PT APT 118-E",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236119",
            "telephone_number": "402-507-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOME CARE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-507-0505"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.