Healthcare Provider Details

I. General information

NPI: 1740023605
Provider Name (Legal Business Name): BLISSFUL BRIDGES HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11720 N CHARLOTTE ST
KANSAS CITY MO
64155-1092
US

IV. Provider business mailing address

11720 N CHARLOTTE ST
KANSAS CITY MO
64155-1092
US

V. Phone/Fax

Practice location:
  • Phone: 816-423-3034
  • Fax:
Mailing address:
  • Phone: 816-423-3034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: EMMA VENN
Title or Position: OWNER
Credential:
Phone: 816-423-3034