Bluebonnet Lifecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUEBONNET LIFECARE, LLC

Practice address

4015 Ashland Woods Dr
Spring, TX 77386-4381

Phone

(832) 433-0465

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Emem Ephraim Udoh

Title

Administrator/Managing Member

Phone

(832) 433-0465

Specialties & licenses 5

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aniekan Udoh, APRN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1164903399
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1932876018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 ASHLAND WOODS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864381",
            "telephone_number": "832-433-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 ASHLAND WOODS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864381",
            "telephone_number": "832-433-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET LIFECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-08-17",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "EMEM",
        "authorized_official_middle_name": "EPHRAIM",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "832-433-0465"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Nutrition Counseling and Consulting
• Nicole Marie Bloom, COTA
• Blossom Tree Counseling
• Sara Blount
• Blue Care Medical LLC
• Bluebonnet Senior Care
• Bluebonnet Senior Care LLC
• Bluejay Pharmacy, LLC
• Britney Nicole Bluford
• Blvd Dentistry Spring PLLC

• Home Health Agency in Spring, TX
• Providers in Spring, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.