A Blessing Family Home Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

A BLESSING FAMILY HOME INC

Doing business as

A Blessing Family Home

Practice address

604 Skyline CT
Fond Du Lac, WI 54935-4740

Phone

(414) 241-0453

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saud Ahmed

Title

Director

Phone

(414) 241-0453

Specialties & licenses 1

Addresses

Other names 1

• A Blessing Family Home Doing business as

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1740859735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250804",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532256512",
            "telephone_number": "414-241-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SKYLINE CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354740",
            "telephone_number": "414-241-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BLESSING FAMILY HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-241-0453"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Blessing Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.