Provider Demographics
NPI:1003057837
Name:BLISS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BLISS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:KWAMBOKA
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:972-602-4374
Mailing Address - Street 1:2108 W PIONEER PKWY STE 113
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6048
Mailing Address - Country:US
Mailing Address - Phone:817-375-0333
Mailing Address - Fax:817-375-0335
Practice Address - Street 1:2108 W PIONEER PKWY STE 113
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-6048
Practice Address - Country:US
Practice Address - Phone:817-375-0333
Practice Address - Fax:817-375-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX012666251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health