Bliss Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLISS HOSPICE LLC

Practice address

2735 Villa Creek Dr Ste 130B
Dallas, TX 75234-7454

Phone

(469) 659-6756

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Elsy Benjamin

Title

Owner

Phone

(469) 659-6756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91668

Legal name

BLISS HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 17, 2023

Last certification

Nov 17, 2023

Organization structure

LLCProprietary

Incorporated

Jun 28, 2022 in TX

Enrollment address

2735 Villa Creek Dr
Ste 130B
Dallas, TX 75234-7454

Listed as

Bliss Hospice LLCCCN A91668

Certified

Nov 17, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Venkatesh Vasantha Madhav, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1144274341

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Syed Tahsin Ahmed, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1477811321

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1558052407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 VILLA CREEK DR STE 130B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347454",
            "telephone_number": "469-659-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 VILLA CREEK DR STE 130B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347454",
            "telephone_number": "469-659-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "ELSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-659-6756",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Blevins, LCDC
• Medra M Blevins
• Kavitha Sunku Blewett, M.D.
• BLG Group
• BLG Group Inc
• Bliss Speech and Hearing Services, Inc.
• Bliss Staffing Agency LLC
• Brenda Weinfeld Bliss, M.S.CCC-SLP/A
• Blissed Being, PLLC
• Charlotte Janis Blissett Holmes, WHCNP

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.