Organization Active NPI

Bliss Health Care Inc.

Doing business as Bliss Hospice Care

  • Community Based Hospice Care Agency
  • Glendora, CA
National Provider Identifier
1962678953
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550000423 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
550000423MedicaidCA
551587OtherCAMEDICARE

Other names 1

  • Bliss Hospice Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.