Organization Active NPI

Blooming Gardens of Care Inc

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1780031914
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 28, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 687047 · All quality measures
Ownership
Proprietary
Certified
Jul 9, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2115569Blooming Gardens of Care Inc13688 W Hillsborough Ave, Tampa, FL 33635Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Blooming Gardens of Care2 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.

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.

NameRoleSinceShare
Imercy Garcia Hernandez Individual 5% Or Greater Direct Ownership Interest Apr 23, 2018 50%
W-2 Managing EmployeeCeo Apr 23, 2018
Miguel a del Valle Individual 5% Or Greater Direct Ownership Interest Aug 23, 2018 50%
W-2 Managing EmployeeBoard Memeber 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

Verify at the official NPI Registry.