BLISS MANOR, INC. (NPI# 1285787002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285787002 |
| Entity Type | Organization |
| Organization Name | BLISS MANOR, INC. |
| Other Organization Name | BLISS MANOR |
| Practice Address |
2929 Lafayette St Saint Joseph MO 64507-1615 |
| Mailing Address |
Po Box 7350 Saint Joseph MO 64507-7350 |
| Practice Telephone | 8162332418 |
| Practice Fax Number | 8162331917 |
| Mailing Telephone | 8162790587 |
| Mailing Fax Number | 8162793461 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRADLEY STEVEN WICKHAM (VICE-PRESIDENT) |
| Authorized Official Telephone | 8162790587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 032511 | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bliss Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518010131 | Bliss Manor, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2102 Village Dr, Saint Joseph, MO 64506-4983 | 2007-01-18 |
| 1669525481 | Bliss Manor, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3919 Messanie St, Saint Joseph, MO 64506-3458 | 2007-01-18 |
| Street Address |
2929 LAFAYETTE ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367614 | Healn Heart Home Healthcare Inc | Residential Treatment Facility, Physical Disabilities | 2047 S Swope Dr, Apt C, Independence, MO 64057-1003 | 2014-08-26 |
| 1891103404 | Karing Homes LLC | Residential Treatment Facility, Physical Disabilities | 6139 Forest Ave, Kansas City, MO 64110-3427 | 2014-07-28 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1558659466 | Heritage Hills LLC | Residential Treatment Facility, Physical Disabilities | Po Box B, Patton, MO 63662-0010 | 2011-07-12 |
| 1922335926 | Blue Hayven In-home Health Care | Residential Treatment Facility, Physical Disabilities | 11553 Withersfield Dr, Saint Louis, MO 63138-1152 | 2009-11-11 |
| 1790940989 | Barefootboy LLC | Residential Treatment Facility, Physical Disabilities | 723 S Scenic Ave, 723 S.scenic, Springfield, MO 65802-5042 | 2008-07-28 |
| 1326119553 | Hickory Hills Residential Care | Residential Treatment Facility, Physical Disabilities | 935 Spartan Ln, Foristell, MO 63348-1022 | 2006-11-10 |
| 1568541886 | Shalimar Corp | Residential Treatment Facility, Physical Disabilities | 2732 Bloomfield Rd, Cape Girardeau, MO 63703-6302 | 2006-11-06 |
| 1437130747 | Flo-gp Leasing Co., LLC | Residential Treatment Facility, Physical Disabilities | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2005-11-14 |
| 1508311747 | N & R of Maryville LLC | Residential Treatment Facility, Physical Disabilities | 524 N Laura St, Maryville, MO 64468-1955 | 2016-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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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.