Blissful LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

060-R-1377 Issued in GA

Legal business name

BLISSFUL LLC

Practice address

760 Old Roswell Rd
Suite 115
Roswell, GA 30076-2279

Phone

(404) 998-2729

Fax

(404) 745-8150

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Antony Abduba

Title

Administrator

Phone

(404) 998-2729

Specialties & licenses 2

Addresses

Other names 1

• Blissful Home Care Doing business as

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1649720673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD",
            "address_2": "SUITE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "404-998-2729",
            "fax_number": "404-745-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD",
            "address_2": "SUITE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "404-998-2729",
            "fax_number": "404-745-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "ABDUBA",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-998-2729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "060-R-1377",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "060-R-1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blissful Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S. Blaiss, M.D.
• Lisa Blake
• Taryn Jade Blank-Jones, BCBA
• Jordan Nicole Blankenship-Sniker, DMD
• Laura Murphy Bleekrode, MD
• Sara R Block, CCC-SLP
• Bernice K Bloom, PT
• Ingrid Lea Bloomfield, NURSE PRACTITIONER
• Priti Shah Bloor, DDS
• Blue Line Medical Products, LLC

• In Home Supportive Care Agency in Roswell, GA
• Providers in Roswell, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.