Provider Demographics
NPI:1699531426
Name:BLISS CARE TRANSPORTAION
Entity type:Organization
Organization Name:BLISS CARE TRANSPORTAION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARLESE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLISS BILBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-837-4362
Mailing Address - Street 1:2437 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46407-3414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2437 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46407-3414
Practice Address - Country:US
Practice Address - Phone:832-936-8603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle