Organization Active NPI

Blooming Angels Healthcare LLC

  • Home Health Agency
  • Chula Vista, CA
National Provider Identifier
1588472872
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOOMING ANGELS HEALTHCARE LLC
Doing business as
Blooming Angels Healthcare LLC
Practice address
583 Park Way Apt J
Chula Vista, CA 91910-3659
Phone
(619) 508-4767
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Mrs. Elizabeth Laura ArroyoNPI 1164918181
Title
Nutritionist
Phone
(619) 508-4767

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Health Clinic/Center 261QC1500X NU
Health Service Clinic/Center 261QH0100X NU

Addresses

Primary practice location

583 Park Way Apt J
Chula Vista, CA 91910-3659

Mailing address

583 Park Way Apt J
Chula Vista, CA 91910-3659
Phone (619) 508-4767

Other names 1

  • Blooming Angels Healthcare LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1588472872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 PARK WAY APT J",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103659",
            "telephone_number": "619-508-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 PARK WAY APT J",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103659",
            "telephone_number": "619-508-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING ANGELS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "ARROYO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "619-508-4767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blooming Angels Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.