Active NPI
Bliss Health Care Inc.
Doing business as Bliss Hospice Care
- Community Based Hospice Care Agency
- Glendora, CA
National Provider Identifier
1962678953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550000423
- Legal business name
- BLISS HEALTH CARE INC.
- Doing business as
- Bliss Hospice Care
- Practice address
- 1755 S Grand Ave
Glendora, CA 91740-5436 - Phone
- (626) 967-1414
- Fax
- (626) 967-1442
- NPI assigned
- Apr 30, 2008
- Last updated
- Dec 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nestor Domingo
- Title
- Chief Executive Officer
- Phone
- (626) 967-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 550000423 | CA | Primary |
Addresses
Primary practice location
1755 S Grand Ave
Glendora, CA 91740-5436
Mailing address
1755 S Grand Ave
Glendora, CA 91740-5436
Phone (626) 967-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550000423 | Medicaid | CA | |
| 551587 | Other | CA | MEDICARE |
Other names 1
- Bliss Hospice Care
National Provider Directory
National Provider DirectoryLocations
1755 S Grand Ave
Glendora, CA 91740
Phone (626) 967-1414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324944000000",
"number": "1962678953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405436",
"telephone_number": "626-967-1414",
"fax_number": "626-967-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405436",
"telephone_number": "626-967-1414",
"fax_number": "626-967-1442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISS HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2011-12-27",
"status": "A",
"authorized_official_last_name": "DOMINGO",
"authorized_official_first_name": "NESTOR",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "626-967-1414",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "550000423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "550000423",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "551587",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bliss Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.