Organization Active NPI

Bliss Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1417340456
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLISS HOME HEALTH, INC.
Practice address
14349 Victory Blvd Ste 105
Van Nuys, CA 91401-6519
Phone
(818) 779-0419
Fax
(818) 779-0415
NPI assigned
Mar 16, 2015
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Donnie Dela Rosa, RN
Title
Ceo
Phone
(818) 779-0419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

14349 Victory Blvd Ste 105
Van Nuys, CA 91401-6519

Mailing address

14349 Victory Blvd Ste 105
Van Nuys, CA 91401-6519
Phone (818) 779-0419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151211000885 CA Part A Provider - Home Health Agency 3779884945 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417340456. Details of each certification follow.

Home health agency certification: CCN 053187

Legal name
BLISS HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 2018
Last certification
May 22, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 13, 2015 in CA
Enrollment address
14349 Victory Blvd
Ste 105B
Van Nuys, CA 91401-1950

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bliss Home Health, IncCCN 053187 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 22, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

14549 Archwood St
Ste 319
Van Nuys, CA 91405
Phone (818) 779-0419

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Khai Q Tran Individual Contracted Managing Employee Sep 14, 2015
Donnie Dela Rosa Individual 5% Or Greater Direct Ownership Interest Jul 29, 2021 100%
Corporate OfficerCeo/Cfo/Secretary Jul 29, 2021 100%
Corporate DirectorCeo/Cfo/Secretary Jul 29, 2021 100%
Operational/Managerial ControlCeo/Cfo/Secretary Jul 29, 2021 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1417340456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14349 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016519",
            "telephone_number": "818-779-0419",
            "fax_number": "818-779-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14349 VICTORY BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016519",
            "telephone_number": "818-779-0419",
            "fax_number": "818-779-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "DELA ROSA",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-779-0419",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.