Organization Active NPI

Blissful Healthcare Services, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1154865459
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLISSFUL HEALTHCARE SERVICES, INC.
Practice address
6314 Van Nuys Blvd
#214
Van Nuys, CA 91401-2625
Phone
(818) 281-7898
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Rouben Davtyan
Title
President/Ceo
Phone
(818) 281-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6314 Van Nuys Blvd
#214
Van Nuys, CA 91401-2625

Mailing address

6314 Van Nuys Blvd
#214
Van Nuys, CA 91401-2625
Phone (818) 281-7898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190208001194 CA Part A Provider - Home Health Agency 6507104056 Practice locations: Burbank, CA

Home health agency certification: CCN 559202

Legal name
BLISSFUL HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2020
Last certification
Jan 28, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2829 W Burbank Blvd
Ste 200B
Burbank, CA 91505-2300

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blissful Healthcare Services, IncCCN 559202
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 28, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2829 W Burbank Blvd
Ste 200B
Burbank, CA 91505
Phone (818) 849-6414

6314 Van Nuys Blvd
Ste 214
Van Nuys, CA 91401
Phone (818) 281-7898

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rouben Davtyan Individual 5% Or Greater Direct Ownership InterestCeo Nov 17, 2016 100%
Corporate OfficerCeo Nov 17, 2016 100%
Corporate DirectorCeo Nov 17, 2016 100%
W-2 Managing EmployeeCeo Nov 17, 2016 100%
Operational/Managerial ControlCeo Nov 17, 2016 100%

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1154865459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD",
            "address_2": "#214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "818-281-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD",
            "address_2": "#214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "818-281-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ROUBEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-281-7898"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.