Organization Active NPI

Blissful Care Alliance, LLC.

  • In Home Supportive Care Agency
  • Gaithersburg, MD
National Provider Identifier
1346066875
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.