Provider Demographics
NPI:1346125697
Name:BLISSFUL MEADOWS SENIOR HOME, LLC
Entity type:Organization
Organization Name:BLISSFUL MEADOWS SENIOR HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-470-6760
Mailing Address - Street 1:PO BOX 451482
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33345-1482
Mailing Address - Country:US
Mailing Address - Phone:954-470-6769
Mailing Address - Fax:
Practice Address - Street 1:3700 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-1869
Practice Address - Country:US
Practice Address - Phone:954-470-6760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility