Organization Active NPI

Blissful Home Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1306664826
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLISSFUL HOME CARE LLC
Practice address
4029 N 31St Ave
Phoenix, AZ 85017-4619
Phone
(602) 785-3374
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
San San
Title
Owner
Phone
(602) 785-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4029 N 31St Ave
Phoenix, AZ 85017-4619

Mailing address

4029 N 31St Ave
Phoenix, AZ 85017-4619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1306664826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 N 31ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 N 31ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174619",
            "telephone_number": "602-785-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "SAN",
        "authorized_official_first_name": "SAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-785-3374"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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