Blissfull Haven Gruop Home LLC

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Legal business name

BLISSFULL HAVEN GRUOP HOME LLC

Practice address

38 Spruce St
Schenectady, NY 12304-1403

Phone

(518) 948-4836

NPI assigned

Jul 17, 2025

Last updated

Jul 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jemeta L Williams

Title

Owner

Phone

(518) 948-4836

Specialties & licenses 1

Addresses

Tax ID family

Blissfull Haven Gruop Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blissfull Hevan Group Home LLC

  • Home Health Agency
  • Schenectady, NY
  • NPI 1750272647
  NPD tax ID

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1518859222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SPRUCE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041403",
            "telephone_number": "518-948-4836",
            "fax_number": "518-948-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SPRUCE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041403",
            "telephone_number": "518-948-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFULL HAVEN GRUOP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEMETA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-948-4836"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Blanco
• Vivian Salvador Blanco, PMHNP
• Loureen Blatt, MS
• Karen Ann Bleser, M.D.
• Diane Blinn, LCSW-R
• Blissfull Hevan Group Home LLC
• Eileen Elaine Block, FNP
• Leiba Bobb-Mitchell
• Amanda Bobel
• Ryker Reilly Bodo, PHARMD

• Health Service Psychologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Health Service Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.