Blessed Companion Private Duty and Personal Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

452490 Issued in NC

Legal business name

BLESSED COMPANION PRIVATE DUTY AND PERSONAL CARE SERVICES

Practice address

2711B Bluff View Dr
Greenville, NC 27834-7746

Phone

(252) 558-7031

NPI assigned

Jul 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shakendra Janae Gaskins, AA,CNA,MED TECH

Title

Owner

Phone

(252) 558-7031

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467590400000",
    "number": "1043662992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711B BLUFF VIEW DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347746",
            "telephone_number": "252-558-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711B BLUFF VIEW DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347746",
            "telephone_number": "252-558-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED COMPANION PRIVATE DUTY AND PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "SHAKENDRA",
        "authorized_official_middle_name": "JANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-558-7031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AA,CNA,MED TECH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "452490",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "452490",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "452490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dowles Blanton, ACNPC-AG
• Annie Mae Blaubach, OTR/L
• Nathan Blaylock, PT, DPT
• Brooke M Bleau, LPC
• Blessed and Healthy Families PLLC
• Blossom & Evolve Counseling Services PLLC
• Amy D Blount, LPC
• Brittany Rakel Blount
• Brittney Faye Blount
• Destiny Blount

• In Home Supportive Care Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.