Active NPI
Bloom Alaska Healthcare Services, LLC
- Community Based Hospice Care Agency
- Anchorage, AK
National Provider Identifier
1346580776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BLOOM ALASKA HEALTHCARE SERVICES, LLC
- Practice address
- 341 W Tudor Rd
Suite 104
Anchorage, AK 99503-6639 - Phone
- (907) 770-8588
- Fax
- (907) 868-8873
- NPI assigned
- Feb 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cecilio Flores, RN
- Title
- Owner/President
- Phone
- (907) 317-6822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | AK | Primary |
Addresses
Primary practice location
341 W Tudor Rd
Suite 104
Anchorage, AK 99503-6639
Mailing address
341 W Tudor Rd
Suite 104
Anchorage, AK 99503-6639
Phone (907) 770-8588
National Provider Directory
National Provider DirectoryLocations
341 W Tudor Rd
Ste 104
Anchorage, AK 99503
Phone (907) 561-3376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361404800000",
"number": "1346580776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 W TUDOR RD",
"address_2": "SUITE 104",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036639",
"telephone_number": "907-770-8588",
"fax_number": "907-868-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 W TUDOR RD",
"address_2": "SUITE 104",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036639",
"telephone_number": "907-770-8588",
"fax_number": "907-868-8873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM ALASKA HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "CECILIO",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "907-317-6822",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.