Cedarbloom, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CEDARBLOOM, LLC

Doing business as

ComForCare Home Care-Grapevine

Practice address

4101 William D Tate Ave Ste 212
Grapevine, TX 76051-5726

Phone

(312) 451-6917

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By 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

Olaleye Augustine Olowookere, RNNPI 1821454935

Title

Owner

Phone

(312) 451-6917

Specialties & licenses 1

Addresses

Other names 1

• ComForCare Home Care-Grapevine Doing business as

Tax ID family

Cedarbloom Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cedarbloom, Limited Liability Company

  dba ComForCare Home Care-Grapevine/Carrollton

  • In Home Supportive Care Agency
  • Grapevine, TX
  • NPI 1134933146
  NPD tax ID

Locations

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.

• Olaleye Augustine Olowookere, RN

  • Registered Nurse
  • Mansfield, TX
  • NPI 1821454935
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1669205076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 WILLIAM D TATE AVE STE 212",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515726",
            "telephone_number": "312-451-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WILLIAM D TATE AVE STE 212",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515726",
            "telephone_number": "312-451-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARBLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "OLOWOOKERE",
        "authorized_official_first_name": "OLALEYE",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-451-6917",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care-Grapevine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane L Cate, LCDC
• Heather Nicole Caton, OD
• Gianna Cavataio, CCC-SLP
• Caya
• Cedarbloom, Limited Liability Company (ComForCare Home Care-Grapevine/Carrollton)
• Center for Long Term Care of Woodridge, Inc
• Center for Vein Restoration TX2 LLC
• Centerpointe Behavioral Health Dallas LLC
• Centrum Medical Group, PLLC
• Jeffrey Joseph Cervenka

• In Home Supportive Care Agency in Grapevine, TX
• Providers in Grapevine, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.