=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194682294
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLISS CARE RESIDENTIAL SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2026
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 59326 CHERRYWOOD DR
-----------------------------------------------------
City | SAINT HELENS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97051-2742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-808-0105
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3720 SW 141ST AVE STE 209
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97005-2300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-808-0105
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | BEATRICE GITHINJI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 503-808-0105
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------