Blissful Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLISSFUL HOME

Doing business as

Blissful Home Care

Practice address

4957 Demeter Cove
Memphis, TN 38118-5451

Phone

(901) 612-9718

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By 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

Jade Dominique Sanders, RN

Title

Administrator

Phone

(901) 612-9718

Specialties & licenses 1

Addresses

Other names 1

• Blissful Home Care Doing business as

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1700654308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 DEMETER COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381185451",
            "telephone_number": "901-612-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 DEMETER COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381185451",
            "telephone_number": "901-612-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-612-9718",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blissful Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.