Provider Demographics
NPI:1427445840
Name:BLISSFUL DAYS LLC
Entity type:Organization
Organization Name:BLISSFUL DAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-634-3304
Mailing Address - Street 1:1 N COMMERCE PARK DR
Mailing Address - Street 2:SUITE 314
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-3187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:877-814-3524
Practice Address - Street 1:1 N COMMERCE PARK DR
Practice Address - Street 2:SUITE 314
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-3187
Practice Address - Country:US
Practice Address - Phone:513-487-0567
Practice Address - Fax:877-814-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251C00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0080026Medicaid