Provider Demographics
NPI:1669223756
Name:BLISSFUL LIVING HOME CARE
Entity type:Organization
Organization Name:BLISSFUL LIVING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPKOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-357-6363
Mailing Address - Street 1:42815 N RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1053
Mailing Address - Country:US
Mailing Address - Phone:612-357-6363
Mailing Address - Fax:
Practice Address - Street 1:316 DAY DR
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-2508
Practice Address - Country:US
Practice Address - Phone:612-357-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle