Healthcare Provider Details

I. General information

NPI: 1366354524
Provider Name (Legal Business Name): BLISSFUL OAKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 NE 5TH AVE
POMPANO BEACH FL
33060-6215
US

IV. Provider business mailing address

10234 OAK MEADOW LN
LAKE WORTH FL
33449-5467
US

V. Phone/Fax

Practice location:
  • Phone: 954-297-9802
  • Fax:
Mailing address:
  • Phone: 954-297-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NADIA RIZZUTO
Title or Position: COO
Credential:
Phone: 561-706-6057