Provider Demographics
NPI:1407273717
Name:BLISSFUL CAREGIVERS, LLC
Entity Type:Organization
Organization Name:BLISSFUL CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBLISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-704-5520
Mailing Address - Street 1:3903 HAWTHORNE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-8860
Mailing Address - Country:US
Mailing Address - Phone:281-704-5520
Mailing Address - Fax:281-710-4025
Practice Address - Street 1:3903 HAWTHORNE GLEN CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8860
Practice Address - Country:US
Practice Address - Phone:281-704-5520
Practice Address - Fax:281-710-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care