Blessed Residential LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

BLESSED RESIDENTIAL LLC

Practice address

1266 Girard St
Akron, OH 44301-1851

Phone

(330) 807-3863

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chimezie Amanambu, MD

Title

President

Phone

(330) 807-3863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1467201616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CUYAHOGA ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041066",
            "telephone_number": "330-807-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 GIRARD ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443011851",
            "telephone_number": "330-807-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Cuyahoga St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041066",
            "country_code": "US",
            "telephone_number": "330-807-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLESSED RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "AMANAMBU",
        "authorized_official_first_name": "CHIMEZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-807-3863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ray Blecker, M.D.
• Audrey Bledsoe
• Dominic Bledsoe
• Jacqueline Marie Bledsoe, STNA
• Crystal Marie Bleigh, ACCNS-AG
• Lucy Blevins
• Patricia Rae Blevins
• Blick Clinic, Inc.
• Blick Clinic, Inc.
• Blick Clinic, Inc.

• Intellectual Disabilities Intermediate Care Facility in Akron, OH
• Providers in Akron, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.