Organization Active NPI

Blessed at Home Care Agency LLC

  • In Home Supportive Care Agency
  • Novato, CA
National Provider Identifier
1891547527
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLESSED AT HOME CARE AGENCY LLC
Practice address
200 Posada del Sol, Apt. 9
Novato, CA 94949
Phone
(747) 248-9613
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Peruth LunkuseNPI 1326801143
Title
Owner
Phone
(747) 248-9613

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 Posada del Sol, Apt. 9
Novato, CA 94949

Mailing address

200 Posada del Sol Apt 9
Novato, CA 94949-6350
Phone (747) 248-9613

Other names 1

  • blessed at home care agency LLC Former legal business name

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, 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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1891547527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POSADA DEL SOL APT 9",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496350",
            "telephone_number": "747-248-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 POSADA DEL SOL, APT. 9",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94949",
            "telephone_number": "747-248-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED AT HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "LUNKUSE",
        "authorized_official_first_name": "PERUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-248-9613"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "blessed at home care agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "blessed at home care agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.