Organization Active NPI

A Blissful Retreat, LLC

  • Assisted Living Facility
  • Concord, CA
National Provider Identifier
1245746890
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
079200543 Issued in CA
Legal business name
A BLISSFUL RETREAT, LLC
Practice address
4200 Cowell Rd
Concord, CA 94518-1806
Phone
(925) 726-8888
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Sumaiya Osman
Title
President/Administrator
Phone
(925) 726-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 079200543 CA Primary

Addresses

Primary practice location

4200 Cowell Rd
Concord, CA 94518-1806

Mailing address

4200 Cowell Rd
Concord, CA 94518-1806

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1245746890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COWELL RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 COWELL RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181806",
            "telephone_number": "925-726-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BLISSFUL RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "SUMAIYA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "925-726-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "079200543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.