Blissfully Supported Enterprises Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLISSFULLY SUPPORTED ENTERPRISES INC

Practice address

714 Montana Dr Ste J
Charlotte, NC 28216-0076

Phone

(704) 526-6407

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By 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

Kadejia MungoNPI 1538025242

Title

Owner

Phone

(704) 526-6407

Specialties & licenses 6

Addresses

Locations

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.

• Kadejia Mungo

  • Peer Specialist
  • Mooresville, NC
  • NPI 1538025242

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1942027628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MONTANA DR STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160076",
            "telephone_number": "704-526-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MONTANA DR STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160076",
            "telephone_number": "704-526-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFULLY SUPPORTED ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MUNGO",
        "authorized_official_first_name": "KADEJIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-526-6407"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Home Based Primary Medical Care
• Susan Bliss
• Blissful Counseling & Consulting, PLLC
• Blissful Living Senior Care Inc
• Blissfull Living Care LLC (Griswold Home Care for Southeast Charlotte)
• Blissfully Supported LLC
• Maxwell Blitstein, D.C
• Michelle Lila Blitstein, M.S. R.D.
• William Mitchell Blitstein, DC, FASA, CCSP
• Jared G Block, M.D.

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.