Healthcare Provider Details

I. General information

NPI: 1134077407
Provider Name (Legal Business Name): BLISS ASSISTED LIVING & MEMORY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 L AVE
NATIONAL CITY CA
91950-3785
US

IV. Provider business mailing address

10024 LENA CT
STOCKTON CA
95209-3914
US

V. Phone/Fax

Practice location:
  • Phone: 925-784-5344
  • Fax:
Mailing address:
  • Phone: 925-784-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: NITIN MEHTA
Title or Position: CEO
Credential:
Phone: 925-784-5344