BLISS HAVEN GROUP LLC (NPI# 1245837061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245837061 |
| Entity Type | Organization |
| Organization Name | BLISS HAVEN GROUP LLC |
| Practice Address |
2442 Sandhurst Ct Gastonia NC 28054-2738 |
| Mailing Address |
1208 Turney Ct High Point NC 27262-8094 |
| Practice Telephone | 7049049322 |
| Mailing Telephone | 7049049322 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MISS KASHEENA MONAY SHIM (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3362535371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
2442 SANDHURST CT |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1306381801 | A Better Concept | Community Based Residential Treatment Facility, Mental Illness | 3019 Fallswood Dr, Gastonia, NC 28052-6054 | 2016-12-20 |
| 1861943474 | Rockhouse Mental Health Care Agency LLC | Community Based Residential Treatment Facility, Mental Illness | 1518 Belmar Dr, Gastonia, NC 28052-5103 | 2016-10-18 |
| 1326474008 | Melange Health Solutions, LLC | Community Based Residential Treatment Facility, Mental Illness | 1818 West Fifth Avenue, Gastonia, NC 28054 | 2013-09-25 |
| 1285983528 | Alternative Community Penalties Program, Inc. | Community Based Residential Treatment Facility, Mental Illness | 400 East Fifth Avenue, Gastonia, NC 28054 | 2012-08-31 |
| 1144510850 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2004 Twin Ave, Gastonia, NC 28052-1369 | 2011-04-14 |
| 1164658597 | Innovative Compliance Solutions | Community Based Residential Treatment Facility, Mental Illness | 4912 Duncan Ln, Gastonia, NC 28056-9361 | 2009-05-29 |
| 1417149311 | Bridgebuilders Family & Youth Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Cambridge Ave, Gastonia, NC 28054-1528 | 2007-08-14 |
| 1093838237 | Footprints Carolina Inc | Community Based Residential Treatment Facility, Mental Illness | 970 Roberts Dr, Gastonia, NC 28054-5804 | 2007-04-10 |
| 1336282862 | Assured Resource Environment | Community Based Residential Treatment Facility, Mental Illness | 1816 Middle St, Gastonia, NC 28052-7626 | 2007-02-15 |
| Find all providers in GASTONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.