Organization Active NPI

Bright Blooms LLC

Doing business as BrightStar of Boise

  • Home Health Agency
  • Boise, ID
National Provider Identifier
1073828828
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIGHT BLOOMS LLC
Doing business as
BrightStar of Boise
Practice address
4355 W Emerald, Suite 290
Boise, ID 83706
Phone
(208) 338-7878
Fax
(208) 338-7879
NPI assigned
Aug 17, 2010
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caroline Moore
Title
Owner
Phone
(208) 258-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4355 W Emerald, Suite 290
Boise, ID 83706

Mailing address

4355 W Emerald, Suite 290
Boise, ID 83706
Phone (208) 338-7878

Other names 1

  • BrightStar of Boise Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2023422Bright Blooms LLC4355 W Emerald Ste 290, Boise, ID 83706Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

4355 W Emerald St
Ste 290
Boise, ID 83706
Phone (208) 338-7878

802 W Bannock St
Ste LP110
Boise, ID 83702

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1073828828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W EMERALD, SUITE 290",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-338-7878",
            "fax_number": "208-338-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W EMERALD, SUITE 290",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-338-7878",
            "fax_number": "208-338-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BLOOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-258-6271"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Boise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar of Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.