Blessings Assurance Personal Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BLESSINGS ASSURANCE PERSONAL CARE HOME

Practice address

285 Vickery LN
Fayetteville, GA 30215-4680

Phone

(678) 469-3977

Fax

(770) 755-1397

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila Renna Taylor

Title

Ceo

Phone

(678) 469-3977

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1790925915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 VICKERY LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154680",
            "telephone_number": "678-469-3977",
            "fax_number": "770-755-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 VICKERY LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154680",
            "telephone_number": "678-469-3977",
            "fax_number": "770-755-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSINGS ASSURANCE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "RENNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-469-3977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485403553A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanchard, Swinson, Fogle
• Thomas D Blaney, D.D.S,M.S.
• Rachel Blanks, LPN
• Miranda M Blaser, DPT
• Blessed Hands Mobile Lab
• Samuel B Bleuez, MD
• Lehome' Bliss, PHD
• Latasha Latrice Blissett, LPC
• Sean Franklin Blithe, PT, DPT
• Ashlee Block, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.