NPIMap

Organization Active NPI

Blessed Home, LLC

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1215067251
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MHL-092535 Issued in NC
Legal business name
BLESSED HOME, LLC
Practice address
3113 Edgetone Dr
Raleigh, NC 27604-3703
Phone
(919) 850-2336
Fax
(919) 878-5649
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Mrs. Felicia Onuorah, RNNPI 1013108901
Title
Administrator
Phone
(919) 850-2336

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X MHL-092535 NC Primary

Addresses

Primary practice location

3113 Edgetone Dr
Raleigh, NC 27604-3703

Mailing address

3113 Edgetone Dr
Raleigh, NC 27604-3703
Phone (919) 850-2336

National Provider Directory

National Provider Directory
Tax ID family
Blessed Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1215067251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 EDGETONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043703",
            "telephone_number": "919-850-2336",
            "fax_number": "919-878-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 EDGETONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043703",
            "telephone_number": "919-850-2336",
            "fax_number": "919-878-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ONUORAH",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-850-2336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-092535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.