Provider Demographics
NPI:1295523330
Name:KBLISSCARE LLC
Entity type:Organization
Organization Name:KBLISSCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINTGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-618-9595
Mailing Address - Street 1:1056 CROSS KEYS RD APT 302
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2279
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1056 CROSS KEYS RD APT 302
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2279
Practice Address - Country:US
Practice Address - Phone:859-618-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty