Ak Blissful Home Care LLC

Key facts

NPI

1033079322

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

AK BLISSFUL HOME CARE LLC

Practice address

1030 N Orange Grove Ave Apt 102
West Hollywood, CA 90046-6142

Phone

(323) 800-8602

NPI assigned

Nov 18, 2025

Organization subpart

No

Authorized official

Name

Justin Omar Rayside

Title

Ceo

Phone

(323) 800-8602

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1033079322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ORANGE GROVE AVE APT 102",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466142",
            "telephone_number": "323-800-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N ORANGE GROVE AVE APT 102",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466142",
            "telephone_number": "323-800-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK BLISSFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "RAYSIDE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-800-8602"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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