Healthcare Provider Details

I. General information

NPI: 1437046109
Provider Name (Legal Business Name): BLISS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 FLATLICK BRANCH DR
CHANTILLY VA
20151-2266
US

IV. Provider business mailing address

PO BOX 220291
CHANTILLY VA
20153-0291
US

V. Phone/Fax

Practice location:
  • Phone: 703-981-5986
  • Fax:
Mailing address:
  • Phone: 703-828-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HIBA MOHAMOUD
Title or Position: DIRECTOR
Credential:
Phone: 703-828-4733