Organization Active NPI

Bloom Alaska Healthcare Services, LLC

  • Community Based Hospice Care Agency
  • Anchorage, AK
National Provider Identifier
1346580776
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Feb 21, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.