Healthcare Provider Details

I. General information

NPI: 1083409841
Provider Name (Legal Business Name): A BLISSFUL TOUCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10821 TREADWAY SCHOOL RD
LEESBURG FL
34788-4676
US

IV. Provider business mailing address

10821 TREADWAY SCHOOL RD
LEESBURG FL
34788-4676
US

V. Phone/Fax

Practice location:
  • Phone: 321-202-6292
  • Fax:
Mailing address:
  • Phone: 321-202-6292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANNON FIELDS-NEWTON
Title or Position: OWNER
Credential:
Phone: 321-202-6292