Bloom Haven Home Care,LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLOOM HAVEN HOME CARE,LLC

Practice address

5036 Denali Dr
Stone Mountain, GA 30087-1107

Phone

(601) 685-0044

NPI assigned

Mar 6, 2026

Organization subpart

No

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

Authorized official

Name

Kristian Nash

Title

Owner

Phone

(601) 685-0044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1780530212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 DENALI DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871107",
            "telephone_number": "601-685-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 DENALI DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871107",
            "telephone_number": "601-685-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HAVEN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-685-0044"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.