Organization Active NPI

Blehealth, LLC

  • Home Health Agency
  • Pomona, CA
National Provider Identifier
1457087595
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLEHEALTH, LLC
Practice address
300 S Park Ave Ste 850
Pomona, CA 91766-1559
Phone
(909) 417-4174
Fax
(909) 417-4175
NPI assigned
Jul 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Keuleya BleNPI 1164398343
Title
Ceo
Phone
(626) 463-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
Supports Brokerage Agency 251X00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

300 S Park Ave Ste 850
Pomona, CA 91766-1559

Mailing address

300 S Park Ave Ste 850
Pomona, CA 91766-1559
Phone (909) 417-4174

Other practice location 1

5588 N Palm Ave Ste 205
Fresno, CA 93704-1913
Phone (909) 417-4174

Other practice location 2

641 Fulton Ave Ste 200
Sacramento, CA 95825-4869
Phone (626) 463-8998

Other practice location 3

360 Mobil Ave Ste 200C
Camarillo, CA 93010-6356
Phone (909) 417-4174

National Provider Directory

National Provider Directory

Locations

360 Mobil Ave
Ste 200C
Camarillo, CA 93010
Phone (909) 417-4174

5588 N Palm Ave
Ste 205
Fresno, CA 93704
Phone (909) 417-4174

300 S Park Ave
Ste 850
Pomona, CA 91766
Phone (909) 417-4174

300 S Park Ave
Ste 817
Pomona, CA 91766
Phone (626) 463-8998

641 Fulton Ave
Ste 200
Sacramento, CA 95825
Phone (626) 463-8998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1457087595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE STE 850",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661559",
            "telephone_number": "909-417-4174",
            "fax_number": "909-417-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE STE 850",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661559",
            "telephone_number": "909-417-4174",
            "fax_number": "909-417-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5588 N Palm Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937041913",
            "country_code": "US",
            "telephone_number": "909-417-4174",
            "fax_number": "909-417-4175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 Fulton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254869",
            "country_code": "US",
            "telephone_number": "626-463-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Mobil Ave Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930106356",
            "country_code": "US",
            "telephone_number": "909-417-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLEHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BLE",
        "authorized_official_first_name": "KEULEYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-463-8998"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.