Organization Active NPI

Blessed Hands Health Care LLC

  • Assisted Living Facility
  • Cottage Grove, MN
National Provider Identifier
1497494017
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLESSED HANDS HEALTH CARE LLC
Doing business as
Blessed Hands Health Care LLC
Practice address
8465 79TH St S
Cottage Grove, MN 55016-2036
Phone
(651) 431-1061
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Stephen Irabor Jr.
Title
Owner
Phone
(651) 431-1061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8465 79TH St S
Cottage Grove, MN 55016-2036

Mailing address

8465 79TH St S
Cottage Grove, MN 55016-2036
Phone (651) 431-1061

Other names 1

  • Blessed Hands Health Care LLC Doing business as

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
24D2277230Blessed Hands Health Care LLC8465 79TH Street South, Cottage Grove, MN 55016Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1497494017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 79TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162036",
            "telephone_number": "651-431-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 79TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162036",
            "telephone_number": "651-431-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "IRABOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-431-1061",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed Hands Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.