Active NPI
Blissful Care Alliance, LLC.
- In Home Supportive Care Agency
- Gaithersburg, MD
National Provider Identifier
1346066875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BLISSFUL CARE ALLIANCE, LLC.
- Practice address
- 503 Main St Apt 327
Gaithersburg, MD 20878-6459 - Phone
- (240) 690-1999
- NPI assigned
- Nov 30, 2024
- Last updated
- Nov 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda-Cleo Wade
- Title
- Chief Executive Officer
- Phone
- (240) 690-1999
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Home Delivered Meals | 332U00000X | NU | ||
| Homemaker | 376J00000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
503 Main St Apt 327
Gaithersburg, MD 20878-6459
Mailing address
18310 Montgomery Village Ave
Suite 300 #1115
Gaithersburg, MD 20879
Phone (240) 283-5541
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1346066875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18310 MONTGOMERY VILLAGE AVE",
"address_2": "SUITE 300 #1115",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20879",
"telephone_number": "240-283-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MAIN ST APT 327",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208786459",
"telephone_number": "240-690-1999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISSFUL CARE ALLIANCE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-30",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "BRENDA-CLEO",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "240-690-1999",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.