Blooming Garden LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BLOOMING GARDEN LLC

Practice address

16231 NE 1St St
Bellevue, WA 98008-4407

Phone

(425) 900-4171

Fax

(425) 590-9086

NPI assigned

Sep 19, 2025

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melaku Mekuria

Title

Owner

Phone

(425) 900-4171

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1437021508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16231 NE 1ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084407",
            "fax_number": "425-590-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16231 NE 1ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084407",
            "telephone_number": "425-900-4171",
            "fax_number": "425-590-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 154th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061752",
            "country_code": "US",
            "telephone_number": "425-900-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOMING GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MEKURIA",
        "authorized_official_first_name": "MELAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-900-4171"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.