Active NPI
Bloom and Shine Services LLC
- Home Health Agency
- Concord, NH
National Provider Identifier
1639630858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLOOM AND SHINE SERVICES LLC
- Practice address
- 90 Airport Rd Ste 27
Concord, NH 03301-5326 - Phone
- (603) 227-6789
- NPI assigned
- Mar 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suraj Budathoki
- Title
- Owner
- Phone
- (603) 227-6789
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
90 Airport Rd Ste 27
Concord, NH 03301-5326
Mailing address
90 Airport Rd Ste 27
Concord, NH 03301-5326
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2328892 | Bloom and Shine Services LLC | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
90 Airport Rd
Ste 27
Concord, NH 03301
Phone (603) 227-6789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1639630858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 AIRPORT RD STE 27",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 AIRPORT RD STE 27",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015326",
"telephone_number": "603-227-6789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM AND SHINE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-29",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "BUDATHOKI",
"authorized_official_first_name": "SURAJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-227-6789"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.