DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLISSFULLY SUPPORTED ENTERPRISES INC

MEDICARE: BLISSFULLY SUPPORTED ENTERPRISES INC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2251B00000XCase Management Agency
3251E00000XHome Health Agency
4310400000XAssisted Living Facility
5332B00000XDurable Medical Equipment & Medical Supplies
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1942027628
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLISSFULLY SUPPORTED ENTERPRISES INC
Provider Business Mailing Address
First Line : 714 MONTANA DR STE J
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-0076
Country : US
Telephone Number : 704-526-6407
Fax Number :
Provider Business Practice Location Address
First Line : 714 MONTANA DR STE J
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-0076
Country : US
Telephone Number : 704-526-6407
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KADEJIA MUNGO
Credential :
Telephone Number : 704-526-6407
Provider Enumeration Date : 09/24/2024
Last Update Date : 09/24/2024

Similar Medicare Providers

1720502677 — MR. RAFAEL DAVID PENA PTA
Practice Location Address:
2871 POST RD , PREHAB SPORTS MEDICARE SERVICES INC.
WARWICK, RI
02886-0076
Practice Phone: 401-463-3060
Practice Fax: 401-732-1045
1366326639 — ELITENP HEALTH AND EDUCATION CONSULTING, PLLC
Practice Location Address:
1000 PEARL PARK WAY FL 11
CHARLOTTE, NC
28204-0076
Practice Phone: 704-516-0470
Practice Fax: 704-237-6417
1679234280 — APRIL JASMINE BLAND NP
Practice Location Address:
1000 PEARL PARK WAY FL 11
CHARLOTTE, NC
28204-0076
Practice Phone: 704-516-0470
Practice Fax: 704-237-6417
1861250466 — VISIONS OF CHOICE HOME HEALTHCARE, INC
Practice Location Address:
7205 GARRETT CT
CHARLOTTE, NC
28214-0076
Practice Phone: 980-310-7866
Practice Fax:
1144169277 — A VHS HOME CARE INC
Practice Location Address:
2332 BEATTIES FORD RD
CHARLOTTE, NC
28216-4314
Practice Phone: 704-301-8399
Practice Fax: 704-536-4373
1558200212 — HANNAH MARY BARBER LCSWA
Practice Location Address:
10130 PERIMETER PKWY STE AND221
CHARLOTTE, NC
28216-2447
Practice Phone: 704-832-2200
Practice Fax: 704-494-7799

Directions to “BLISSFULLY SUPPORTED ENTERPRISES INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.