Organization Active NPI

Bloomingu Home Care, LLC.

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1417570110
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLOOMINGU HOME CARE, LLC.
Practice address
2046 W Hagert St
Philadelphia, PA 19132-3712
Phone
(215) 859-3025
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Ayana Bennett
Title
President
Phone
(215) 859-3025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2046 W Hagert St
Philadelphia, PA 19132-3712

Mailing address

2046 W Hagert St
Philadelphia, PA 19132-3712
Phone (215) 859-3025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1417570110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 W HAGERT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323712",
            "telephone_number": "215-859-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 W HAGERT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323712",
            "telephone_number": "215-859-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGU HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-859-3025"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.