BLISS HAVEN, INC. – NPI #1609435072
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BLISS HAVEN, INC. is a community based residential treatment facility located in JOHNSTON CITY, IL. NPPES has assigned the NPI number 1609435072 to BLISS HAVEN, INC. on June 10, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLISS HAVEN, INC. below.

NPI Profile for
BLISS HAVEN, INC.

NPI Number
1609435072
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLISS HAVEN, INC.
Primary location
1304 DURHAM ST
JOHNSTON CITY, IL 62951-2043
Phone: (618) 952-0277 Fax:
Mailing address
PO BOX 502
MARION, IL 62959-0502
Phone: Fax:
Organization Subpart
No
Authorized Official
MELISSA BITTLE
OWNER
Phone: (618) 927-5300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.