Bliss Life Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLISS LIFE RESIDENTIAL CARE

Practice address

402 Arthur Ave
Lehigh Acres, FL 33936-7412

Phone

(239) 603-3734

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Viergela Deshommes Joseph, APRNNPI 1649742628

Title

Administrator

Phone

(239) 603-3734

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Viergela Deshommes Joseph, APRN

  • Primary Care Nurse Practitioner
  • Fort Myers, FL
  • NPI 1649742628
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1194326728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ARTHUR AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367412",
            "telephone_number": "239-603-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 ARTHUR AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367412",
            "telephone_number": "239-603-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS LIFE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "VIERGELA",
        "authorized_official_middle_name": "DESHOMMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-603-3734",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION DIVISION OF HEALTH QUALITY ASSURANCE",
            "identifier": "60243",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zulema Blanco Mantilla
• Maria D Blanco, DDS
• Latongella Terell Bland, RN
• Bless Medical Center of Lehigh LLC
• Charles Alan Blickle, LMHC
• Blissful Care Services LLC
• Blu Gem Supportive Services LLC
• Blue Horizon Professional Group, Inc
• Audrey F Blumenfeld, MPH.,RD
• Nery Lee Bodden Sabillon, BACHELORS

• Assisted Living Facility in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.