Organization Active NPI

Blooming Blossoms Homecare LLC

  • Home Health Agency
  • Coatesville, PA
National Provider Identifier
1184493637
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOOMING BLOSSOMS HOMECARE LLC
Practice address
230 Sloan Dr
Coatesville, PA 19320-6658
Phone
(484) 354-5548
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Mardette Shockley
Title
Ceo
Phone
(484) 354-5548

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

230 Sloan Dr
Coatesville, PA 19320-6658

Mailing address

230 Sloan Dr
Coatesville, PA 19320-6658
Phone (484) 354-5548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1184493637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SLOAN DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193206658",
            "telephone_number": "484-354-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SLOAN DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193206658",
            "telephone_number": "484-354-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING BLOSSOMS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "MARDETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-354-5548"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.