MEDICARE: BLISSFUL DAYS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency		OH
2	253Z00000X	In Home Supportive Care Agency		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427445840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISSFUL DAYS LLC

Provider Business Mailing Address
First Line	:	1 N COMMERCE PARK DR
Second Line	:	SUITE 314
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3187
Country	:	US
Telephone Number	:
Fax Number	:	877-814-3524

Provider Business Practice Location Address
First Line	:	1 N COMMERCE PARK DR
Second Line	:	SUITE 314
City	:	CINCINNATI
State	:	OH
Zip	:	45215-3187
Country	:	US
Telephone Number	:	513-487-0567
Fax Number	:	877-814-3524

Authorized Official
Title or Position	:	CEO
Name	:	MRS. CHERYL LYNN COOPER
Credential	:
Telephone Number	:	330-634-3304

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	04/23/2015

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Directions to “BLISSFUL DAYS LLC ” Practice Location

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