Organization Active NPI

Memory Bloom Home Care LLC

  • In Home Supportive Care Agency
  • Cape Coral, FL
National Provider Identifier
1457220600
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEMORY BLOOM HOME CARE LLC
Practice address
1925 NE 10TH Ter Ste 102
Cape Coral, FL 33909-1765
Phone
(786) 642-1044
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Ailsa QuezadaNPI 1336807825
Title
Owner/President/Treasurer
Phone
(786) 642-1044

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 1

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

Addresses

Primary practice location

1925 NE 10TH Ter Ste 102
Cape Coral, FL 33909-1765

Mailing address

1925 NE 10TH Ter Ste 102
Cape Coral, FL 33909-1765
Phone (786) 642-1044

National Provider Directory

National Provider Directory

Locations

1925 NE 10th Ter
Ste 102
Cape Coral, FL 33909
Phone (786) 642-1044

583 Pondella Rd
Ste A
North Fort Myers, FL 33903

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": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1457220600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 NE 10TH TER STE 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091765",
            "telephone_number": "786-642-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE 10TH TER STE 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091765",
            "telephone_number": "786-642-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY BLOOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "AILSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "786-642-1044"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.