Organization Active NPI

Blissful Residential Home Inc

  • Assisted Living Facility
  • Vallejo, CA
National Provider Identifier
1982372892
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLISSFUL RESIDENTIAL HOME INC
Practice address
1900 Ascot Pkwy Apt 323
Vallejo, CA 94591-8333
Phone
(650) 770-5677
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Miss Rosemary Mambo Asanji
Title
Administrator
Phone
(650) 770-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1900 Ascot Pkwy Apt 323
Vallejo, CA 94591-8333

Mailing address

1900 Ascot Pkwy Apt 323
Vallejo, CA 94591-8333
Phone (650) 770-5677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1982372892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ASCOT PKWY APT 323",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918333",
            "telephone_number": "650-770-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ASCOT PKWY APT 323",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918333",
            "telephone_number": "650-770-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL RESIDENTIAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "ASANJI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "MAMBO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-770-5677",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.