MEDICARE: BLISS HOME HEALTH CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437046109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 220291
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20153-0291
Country	:	US
Telephone Number	:	703-828-4733
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 FLATLICK BRANCH DR
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-2266
Country	:	US
Telephone Number	:	703-981-5986
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. HIBA MOHAMOUD
Credential	:
Telephone Number	:	703-828-4733

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	03/26/2026

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Directions to “BLISS HOME HEALTH CARE LLC ” Practice Location

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