Blooming Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOOMING HOME HEALTH CARE, INC

Practice address

10523 Burbank Blvd Ste 205
North Hollywood, CA 91601-2238

Phone

(747) 205-2597

Fax

(747) 205-2471

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Jay Gotoc

Title

Ceo

Phone

(747) 205-2597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559008

Legal name

BLOOMING HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 1, 2019

Last certification

Feb 1, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 14, 2016 in CA

Enrollment address

10523 Burbank Blvd
Ste 205
North Hollywood, CA 91601-2238

Listed as

Blooming Home Health Care, IncCCN 559008

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Feb 1, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Arvind Kishore Mathur, MD

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1962726471

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1891142147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012238",
            "telephone_number": "747-205-2597",
            "fax_number": "747-205-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012238",
            "telephone_number": "747-205-2597",
            "fax_number": "747-205-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "GOTOC",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-205-2597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Blankstein
• Bliss Health Services Inc
• Bliss Palliative and Hospice Care Inc
• Marie Kathleen Block, M.A.
• Edward Harrison Bloom
• Blue Cross Elderly Care
• Blue Cross Hospice
• Blue Horizon Eldercare LLC
• Blue Horizon Eldercare LLC
• Bluelighthomecare LLC

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.

Verify at the official NPI Registry.