Organization Active NPI

Blessing Healthcare Services LTD

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1306860747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CoCCN 679297 · All quality measures
Ownership
Proprietary
Certified
Jun 23, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1005315Blessing Healthcare Services LTD101 E Corporate Drive, Suite 210, Lewisville, TX 75067Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Victoria Momah Individual 5% Or Greater Direct Ownership Interest Aug 2, 2002 40%
Limited Partnership InterestFinancial Officer Aug 2, 2002 40%
Corporate OfficerFinancial Officer Aug 2, 2002 40%
Corporate DirectorAlt Administrator Aug 2, 2002 40%
W-2 Managing EmployeeAlt Administrator Aug 2, 2002 40%
Operational/Managerial ControlAlt Administrator Aug 2, 2002 40%
Benson Momah Individual 5% Or Greater Direct Ownership Interest Aug 2, 2002 60%
Limited Partnership InterestAdministrator Aug 2, 2002 60%
Corporate OfficerAdministrator Aug 2, 2002 60%
Corporate DirectorAdministrator Aug 2, 2002 60%
W-2 Managing EmployeeAdministrator Aug 2, 2002 60%
Operational/Managerial ControlAdministrator 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

Verify at the official NPI Registry.