Organization Active NPI

Blissett Health Service

  • Non-emergency Medical Transport (VAN)
  • Valdosta, GA
National Provider Identifier
1942652169
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLISSETT HEALTH SERVICE
Practice address
3490 Lenox Dr
Valdosta, GA 31605-7433
Phone
(229) 548-9774
NPI assigned
Jul 12, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Mrs. Latwanya Monique Blissett
Title
Ceo
Phone
(229) 548-9774

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X GA
Home Health Agency 251E00000X GA
Durable Medical Equipment & Medical Supplies 332B00000X GA
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3490 Lenox Dr
Valdosta, GA 31605-7433

Mailing address

PO Box 4031
Valdosta, GA 31604-4031

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1942652169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4031",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316044031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 LENOX DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057433",
            "telephone_number": "229-548-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSETT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "BLISSETT",
        "authorized_official_first_name": "LATWANYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-548-9774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.