Organization Active NPI

Blooming Heart Home Care, LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1942836176
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLOOMING HEART HOME CARE, LLC
Practice address
9301 Monroe Rd Ste C
Charlotte, NC 28270-2469
Phone
(704) 548-7726
Fax
(704) 548-7639
NPI assigned
Mar 19, 2020
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Natasia Grant, RN
Title
Agency Director
Phone
(704) 548-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9301 Monroe Rd Ste C
Charlotte, NC 28270-2469

Mailing address

9301 Monroe Rd Ste C
Charlotte, NC 28270-2469
Phone (704) 548-7726

National Provider Directory

National Provider Directory

Locations

9301 Monroe Rd
Ste C
Charlotte, NC 28270
Phone (704) 548-7726

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1942836176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 MONROE RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702469",
            "telephone_number": "704-548-7726",
            "fax_number": "704-548-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 MONROE RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702469",
            "telephone_number": "704-548-7726",
            "fax_number": "704-548-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HEART HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "NATASIA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-548-7726",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.