Blessed Assisted Living Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12020 Issued in FL

Legal business name

BLESSED ASSISTED LIVING HOME, LLC

Practice address

1417 Palm LN
Jacksonville, FL 32216-3142

Phone

(904) 725-0977

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Bulz

Title

Owner

Phone

(904) 725-0977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1285909291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 PALM LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163142",
            "telephone_number": "904-725-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 PALM LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163142",
            "telephone_number": "904-725-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "BULZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-725-0977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bleak
• Curtis Michael Bleau, D.P.M.
• Richard M Blecha, MD
• Kristi Renee Bledsoe, PHARMD
• Jenna Blenker, BCBA
• Blessedful Breastfeeding LLC
• Danielle Blevins
• Nicole Blevins
• Michael Alan Bliemeister, RPH
• Joshua Leon Blimbaum, DMD

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.