Provider Demographics
NPI:1558052407
Name:BLISS HOSPICE LLC
Entity Type:Organization
Organization Name:BLISS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELSY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-659-6756
Mailing Address - Street 1:2735 VILLA CREEK DR STE 130B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7454
Mailing Address - Country:US
Mailing Address - Phone:469-659-6756
Mailing Address - Fax:
Practice Address - Street 1:2735 VILLA CREEK DR STE 130B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7454
Practice Address - Country:US
Practice Address - Phone:469-659-6756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based