NPIMap

Organization Active NPI

Blissfully Living Home Care

  • Adult Care Home Facility
  • Ruskin, FL
National Provider Identifier
1568036283
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BLISSFULLY LIVING HOME CARE
Practice address
1109 Wynnmere Walk Ave
Ruskin, FL 33570-2069
Phone
(727) 831-2862
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Lucinda McCreaNPI 1770268823
Title
Owner
Phone
(727) 831-2862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

1109 Wynnmere Walk Ave
Ruskin, FL 33570-2069

Mailing address

1109 Wynnmere Walk Ave
Ruskin, FL 33570-2069
Phone (727) 831-2862

Other names 1

  • Blissfully Living Home Care Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.blissfullylivinghomecare.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1568036283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WYNNMERE WALK AVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702069",
            "telephone_number": "727-831-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 WYNNMERE WALK AVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702069",
            "telephone_number": "727-831-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFULLY LIVING HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-831-2862"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.blissfullylivinghomecare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1109 Wynnmere Walk Ave",
            "city": "Ruskin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335702069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blissfully Living Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.