Provider Demographics
NPI:1821455353
Name:PATIENT BLISS HOME CARE AGENCY, INC.
Entity Type:Organization
Organization Name:PATIENT BLISS HOME CARE AGENCY, INC.
Other - Org Name:PATIENT FIRST HOME CARE AGENCY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YULINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERKASSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-780-5475
Mailing Address - Street 1:ONE NESHAMINI INTERPLEX
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6969
Mailing Address - Country:US
Mailing Address - Phone:215-780-5475
Mailing Address - Fax:215-359-1691
Practice Address - Street 1:ONE NESHAMINI INTERPLEX
Practice Address - Street 2:SUITE 106
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6969
Practice Address - Country:US
Practice Address - Phone:215-780-5475
Practice Address - Fax:215-359-1691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06250501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103237993-0002Medicaid