Provider Demographics
NPI:1073274270
Name:BLISSFUL HOME CARE LLC
Entity Type:Organization
Organization Name:BLISSFUL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMAL
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-755-0286
Mailing Address - Street 1:1799 S DAYTON ST APT 4435
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6263
Mailing Address - Country:US
Mailing Address - Phone:720-755-0286
Mailing Address - Fax:
Practice Address - Street 1:1799 S DAYTON ST APT 4435
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-6263
Practice Address - Country:US
Practice Address - Phone:720-755-0286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health