Blessed Care Assisted Living LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLESSED CARE ASSISTED LIVING LLC

Practice address

6245 104TH Cir N
Brooklyn Park, MN 55443-1026

Phone

(612) 532-5663

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Eric Mensah

Title

Manager

Phone

(612) 532-9563

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1801673181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 104TH CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431026",
            "telephone_number": "612-532-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 104TH CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431026",
            "telephone_number": "612-532-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED CARE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-532-9563"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Blevins
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• Ross Boekhoff

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.