Active NPI
Blessing Healthcare Services LTD
- Home Health Agency
- Lewisville, TX
National Provider Identifier
1306860747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLESSING HEALTHCARE SERVICES LTD
- Practice address
- 2012 Vista Dr
Lewisville, TX 75667 - Phone
- (972) 315-8030
- Fax
- (972) 459-7944
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benson Momah, BS MS
- Title
- Administrator
- Phone
- (972) 315-8030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2012 Vista Dr
Lewisville, TX 75667
Mailing address
2012 Vista Dr
Lewisville, TX 75667
Phone (972) 315-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000252 | TX | Part A Provider - Home Health Agency | 0840452165 | Practice locations: Lewisville, TX |
Home health agency certification: CCN 679297
- Legal name
- BLESSING HEALTHCARE SERVICES LTD
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 23, 2003
- Last certification
- Feb 3, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 101 East Corporate Drive
Suite # 210
Lewisville, TX 75067
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Blessing Healthcare Services LTD Co
- Ownership
- Proprietary
- Certified
- Jun 23, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1005315 | Blessing Healthcare Services LTD | Certificate of waiver | Oct 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
101 E Corporate Dr
Ste 210
Lewisville, TX 75067
Phone (972) 315-8030
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Victoria Momah | 5% Or Greater Direct Ownership Interest | Aug 2, 2002 | 40% |
| Limited Partnership Interest | Aug 2, 2002 | 40% | |
| Corporate Officer | Aug 2, 2002 | 40% | |
| Corporate Director | Aug 2, 2002 | 40% | |
| W-2 Managing Employee | Aug 2, 2002 | 40% | |
| Operational/Managerial Control | Aug 2, 2002 | 40% | |
| Benson Momah | 5% Or Greater Direct Ownership Interest | Aug 2, 2002 | 60% |
| Limited Partnership Interest | Aug 2, 2002 | 60% | |
| Corporate Officer | Aug 2, 2002 | 60% | |
| Corporate Director | Aug 2, 2002 | 60% | |
| W-2 Managing Employee | Aug 2, 2002 | 60% | |
| Operational/Managerial Control | Aug 2, 2002 | 60% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306860747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 VISTA DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75667",
"telephone_number": "972-315-8030",
"fax_number": "972-459-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 VISTA DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75667",
"telephone_number": "972-315-8030",
"fax_number": "972-459-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSING HEALTHCARE SERVICES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOMAH",
"authorized_official_first_name": "BENSON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-315-8030",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS MS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.