Organization Active NPI

Bliss Personal Care Agency LLC

Doing business as Bliss Personal Care Agency

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1740758838
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLISS PERSONAL CARE AGENCY LLC
Doing business as
Bliss Personal Care Agency
Practice address
2745 N MLK Dr Ste 203F
Milwaukee, WI 53212-2380
Phone
(414) 210-4166
Fax
(414) 210-4051
NPI assigned
Nov 6, 2018
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Saud Ahmed
Title
Director
Phone
(414) 241-0453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2745 N MLK Dr Ste 203F
Milwaukee, WI 53212-2380

Mailing address

2745 N MLK Dr Ste 203F
Milwaukee, WI 53212-2380
Phone (414) 210-4166

Other identifiers 1

IdentifierTypeStateIssuer
100080024MedicaidWI

Other names 1

  • Bliss Personal Care Agency Doing business as

National Provider Directory

National Provider Directory

Locations

2745 N Mlk Dr
Ste 203F
Milwaukee, WI 53212
Phone (414) 210-4166

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1740758838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 N MLK DR STE 203F",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122380",
            "telephone_number": "414-210-4166",
            "fax_number": "414-210-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 N MLK DR STE 203F",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122380",
            "telephone_number": "414-210-4166",
            "fax_number": "414-210-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-241-0453"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bliss Personal Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bliss Personal Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.