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General NPI Number Information
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NPI Number | 1407730062
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Entity Type | Organization
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Legal Business Name | BLISS HOME HEALTHCARE
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5367 MINNEHAHA AVE APT 116
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2383
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Country | US
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Telephone | 612-836-9799
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 STEVENS AVE APT 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3870
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Country | US
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Telephone | 612-836-9799
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Fax |
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Authorized Official
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Title or Position | PROGRAMS DIRECTOR
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Name | MUSTAFA FARAH
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Credential | LALD
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Telephone | 612-836-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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