Organization Active NPI

Abloom Health LLC

  • Home Health Registered Nurse
  • Burnsville, MN
National Provider Identifier
1780328187
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
ABLOOM HEALTH LLC
Practice address
12751 County Road 5 Ste 177
Burnsville, MN 55337-2283
Phone
(651) 528-1546
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mohamed Shire, RN
Title
Owner
Phone
(651) 528-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

12751 County Road 5 Ste 177
Burnsville, MN 55337-2283

Mailing address

12751 County Road 5 Ste 177
Burnsville, MN 55337-2283

National Provider Directory

National Provider Directory

Locations

12751 County Road 5
Ste 177
Burnsville, MN 55337
Phone (651) 528-1546

12751 County Road 5
Ste 171
Burnsville, MN 55337

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1780328187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 COUNTY ROAD 5 STE 177",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 COUNTY ROAD 5 STE 177",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372283",
            "telephone_number": "651-528-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLOOM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-528-1546",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.