Organization Active NPI

Blissful Residential Services LLC

  • Adult Care Home Facility
  • Essex, MD
National Provider Identifier
1336045525
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BLISSFUL RESIDENTIAL SERVICES LLC
Practice address
535 N Marlyn Ave
Essex, MD 21221-3330
Phone
(612) 418-7897
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Mrs. Garmai Twizilee Johnson-Massally
Title
Ceo
Phone
(612) 418-7897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

535 N Marlyn Ave
Essex, MD 21221-3330

Mailing address

535 N Marlyn Ave
Essex, MD 21221-3330
Phone (612) 418-7897

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1336045525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N MARLYN AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213330",
            "telephone_number": "612-418-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N MARLYN AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213330",
            "telephone_number": "612-418-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-MASSALLY",
        "authorized_official_first_name": "GARMAI",
        "authorized_official_middle_name": "TWIZILEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-418-7897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.