Organization Active NPI

Blessin Angel Home Care LLC

  • Case Manager/Care Coordinator
  • Chicago, IL
National Provider Identifier
1811404643
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
3001330 Issued in IL
Legal business name
BLESSIN ANGEL HOME CARE LLC
Practice address
9006 S Anthony Ave
Chicago, IL 60617-4147
Phone
(773) 563-2299
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Theresa BlackmanNPI 1811420268
Title
Agancy Manager
Phone
(773) 563-2299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 3001330 IL Primary

Addresses

Primary practice location

9006 S Anthony Ave
Chicago, IL 60617-4147

Mailing address

9006 S Anthony Ave
Chicago, IL 60617-4147
Phone (773) 563-2299

Other identifiers 1

IdentifierTypeStateIssuer
1811420268OtherILINDIVIDUAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1811404643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 S ANTHONY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174147",
            "telephone_number": "773-563-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 S ANTHONY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174147",
            "telephone_number": "773-563-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSIN ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "AGANCY MANAGER",
        "authorized_official_telephone_number": "773-563-2299"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "3001330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1811420268",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.