Provider Demographics
NPI:1548529423
Name:A BLISS CARE, INC.
Entity type:Organization
Organization Name:A BLISS CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPP
Authorized Official - Phone:210-887-2775
Mailing Address - Street 1:4007 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE NO. 259
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2420
Mailing Address - Country:US
Mailing Address - Phone:210-887-2775
Mailing Address - Fax:210-468-0713
Practice Address - Street 1:138 E RIDGEWOOD CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2340
Practice Address - Country:US
Practice Address - Phone:210-887-2775
Practice Address - Fax:210-468-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014779251J00000X, 253Z00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care