Bloom Home Care Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOOM HOME CARE CORP

Practice address

2100 W 76TH St Ste 411
Hialeah, FL 33016-5504

Phone

(786) 516-8452

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Irina Camejo

Title

Owner

Phone

(786) 516-8452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687356

Legal name

BLOOM HOME CARE CORP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 19, 2025

Last certification

Feb 19, 2025

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2022 in FL

Enrollment address

2100 W 76TH St
Ste 411
Hialeah, FL 33016-5504

Listed as

Bloom Home Care CorpCCN 687356

Ownership

-

Certified

Feb 19, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1194472258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST STE 411",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST STE 411",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165504",
            "telephone_number": "786-516-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-516-8452"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.