Active NPI
Blooming Gardens of Care Inc
- Home Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLOOMING GARDENS OF CARE INC
- Practice address
- 13688 W Hillsborough Ave
Tampa, FL 33635-9638 - Phone
- (813) 563-6182
- Fax
- (813) 569-6633
- NPI assigned
- May 17, 2016
- 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
- Imercy Garcia Hernandez
- Title
- Ceo
- Phone
- (813) 787-2964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13688 W Hillsborough Ave
Tampa, FL 33635-9638
Mailing address
13688 W Hillsborough Ave
Tampa, FL 33635-9638
Phone (813) 563-6182
Other practice location 1
3974 Tampa Rd Ste B
Oldsmar, FL 34677-3228
Phone (813) 563-6182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190810000018 | FL | Part A Provider - Home Health Agency | 6305173584 | Practice locations: Tampa, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780031914. Details of each certification follow.
Home health agency certification: CCN 687047
- Legal name
- BLOOMING GARDENS OF CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 9, 2020
- Last certification
- Jul 9, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 28, 2019
- Enrollment address
- 13688 W Hillsborough Ave
Tampa, FL 33635-9638
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Blooming Gardens of Care Inc
- Ownership
- Proprietary
- Certified
- Jul 9, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 10D2115569 | Blooming Gardens of Care Inc | Certificate of waiver | Jul 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Blooming Gardens of Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Attendant Care Provider
- Oldsmar, FL
- NPI 1659240091
Locations
7211 N Dale Mabry Hwy
Ste 206
Tampa, FL 33614
Phone (813) 400-0324
13688 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 562-6182
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Imercy Garcia Hernandez | 5% Or Greater Direct Ownership Interest | Apr 23, 2018 | 50% |
| W-2 Managing Employee | Apr 23, 2018 | ||
| Miguel a del Valle | 5% Or Greater Direct Ownership Interest | Aug 23, 2018 | 50% |
| W-2 Managing Employee | Aug 23, 2018 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1780031914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13688 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359638",
"telephone_number": "813-563-6182",
"fax_number": "813-569-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13688 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359638",
"telephone_number": "813-563-6182",
"fax_number": "813-569-6633"
}
],
"practiceLocations": [
{
"address_1": "3974 Tampa Rd Ste B",
"address_purpose": "LOCATION",
"city": "Oldsmar",
"state": "FL",
"postal_code": "346773228",
"country_code": "US",
"telephone_number": "813-563-6182",
"fax_number": "813-569-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLOOMING GARDENS OF CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-17",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "GARCIA HERNANDEZ",
"authorized_official_first_name": "IMERCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-787-2964"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.