CANLY BLESSED GROUP HOME LLC
NPI 1043197296
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Oklahoma City, OK

Active since August 19, 2025
26 SW 104TH ST, OKLAHOMA CITY, OK 73139(405) 889-6273 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canly Blessed Group Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANLY BLESSED GROUP HOME LLC (NPI 1043197296) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Oklahoma City, Oklahoma and active in the NPI registry since August 2025. The organization lists Lydia Bosungmeh Achirindalle, Owner, as its authorized official.

NPPES Registry Identity

NPI1043197296
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCANLY BLESSED GROUP HOME LLC
Location Address26 SW 104TH STOklahoma City, OK 73139-9040
Mailing Address26 Sw 104th StOklahoma City, OK 73139-9040 · (405) 889-6273
Organization SubpartNo
Authorized OfficialLydia Bosungmeh AchirindalleOwner · (405) 889-6273
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1043197296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

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

26 SW 104TH ST, Oklahoma City, OK 73139

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
26 SW 104TH ST
OKLAHOMA CITY, OK 73139
Emergency Medicine
26 SW 104TH ST
OKLAHOMA CITY, OK 73139
Emergency Medicine
26 SW 104TH ST
OKLAHOMA CITY, OK 73139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canly Blessed Group Home LLC's NPI number?

The NPI number for Canly Blessed Group Home LLC is 1043197296. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Canly Blessed Group Home LLC located?

Canly Blessed Group Home LLC is located at 26 SW 104th St, Oklahoma City, OK 73139. The listed phone number is (405) 889-6273.

What is Canly Blessed Group Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Canly Blessed Group Home LLC was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.