05D2239853 CLIA NUMBER - BLISSFUL HOME HEALTH SERVICES

Laboratory Demographics

CLIA Number: 05D2239853

Facility Name: BLISSFUL HOME HEALTH SERVICES

Facility Address:
18645 SHERMAN WAY STE 205
RESEDA, CA
ZIP 91335
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Facility Phone Number: 818 697-5977

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1184168650

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D2239853
LAB Type	Home Health Agency
Facility Name	BLISSFUL HOME HEALTH SERVICES
Street	18645 SHERMAN WAY STE 205
City	RESEDA
State	CA
ZIP	91335
Phone	818 697-5977
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024