Organization Active NPI

Carebloom Registry LLC

  • In Home Supportive Care Agency
  • Cape Coral, FL
National Provider Identifier
1194633917
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAREBLOOM REGISTRY LLC
Practice address
1104 SE 46TH LN Ste 4a
Cape Coral, FL 33904-8882
Phone
(239) 218-6396
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Yanelis Donates Gonzalez
Title
Owner
Phone
(239) 218-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1104 SE 46TH LN Ste 4a
Cape Coral, FL 33904-8882

Mailing address

1104 SE 46TH LN Ste 4a
Cape Coral, FL 33904-8882
Phone (239) 218-6396

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1194633917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SE 46TH LN STE 4A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048882",
            "telephone_number": "239-218-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SE 46TH LN STE 4A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048882",
            "telephone_number": "239-218-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBLOOM REGISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DONATES GONZALEZ",
        "authorized_official_first_name": "YANELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-218-6396"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.