NPIMap

Organization Active NPI

Blessing Care Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1629741715
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLESSING CARE SERVICES
Doing business as
Blessing Care Services
Practice address
1526 Mark Massengill Dr
Raleigh, NC 27610-4454
Phone
(919) 231-9969
NPI assigned
Jul 26, 2021
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Mr. Paul Ilolibi Medju, MSW, LCSWNPI 1407214919
Title
Owner/Ceo
Phone
(919) 633-3792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

1526 Mark Massengill Dr
Raleigh, NC 27610-4454

Mailing address

PO Box 14048
Raleigh, NC 27620-4048
Phone (919) 633-3792

Other names 1

  • Blessing Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818003485 NC Part B Supplier - Clinic/Group Practice 1355724634 Receives reassigned benefits from 1 practitioner
Practice locations: Knightdale, NC

National Provider Directory

National Provider Directory
Tax ID family
Blessing Care Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

723 W Johnson St
Raleigh, NC 27603
Phone (919) 601-3946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1629741715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14048",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204048",
            "telephone_number": "919-633-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MARK MASSENGILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104454",
            "telephone_number": "919-231-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "MEDJU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ILOLIBI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-633-3792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessing Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.