Blooming Rose Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9985H Issued in AZ

Legal business name

BLOOMING ROSE CARE HOME LLC

Practice address

14885 W Cameron Dr
Surprise, AZ 85379-5219

Phone

(603) 444-4742

Fax

(623) 444-4742

NPI assigned

Dec 12, 2017

Last updated

Jan 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christine Barbara Rose

Title

Manager

Phone

(623) 444-4742

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1194230151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14885 W CAMERON DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795219",
            "telephone_number": "603-444-4742",
            "fax_number": "623-444-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14885 W CAMERON DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795219",
            "telephone_number": "603-444-4742",
            "fax_number": "623-444-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING ROSE CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-444-4742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9985H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Blackmore, FNP
• Trahsean Blair
• Patricia Joan Blanck-Miller, NP
• Melissa Blevans, RN
• Paige Renae Blom, OD
• Blue Horizons Assisted Living Home LLC
• Blue Mountain Developmental Programs, LLC
• Blue Palm Medical
• Blue Sprig Pediatrics, Inc
• Keimonte Lemar Blueford Sr., MT

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.