Healthcare Provider Details

I. General information

NPI: 1407670003
Provider Name (Legal Business Name): BLISS HOME HEALTHCARE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 STATE RD STE 6
PARMA OH
44134-2263
US

IV. Provider business mailing address

5530 STATE RD STE 6
PARMA OH
44134-2263
US

V. Phone/Fax

Practice location:
  • Phone: 216-317-0225
  • Fax: 216-279-3481
Mailing address:
  • Phone: 216-317-0225
  • Fax: 216-279-3481

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: BAKISA M KHAWI
Title or Position: CEO
Credential:
Phone: 216-317-0225