Bloom Lifecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLOOM LIFECARE

Doing business as

Homewatch CareGivers of Oakland

Practice address

3820 Broadway
Oakland, CA 94611-5616

Phone

(510) 835-9362

Fax

(510) 835-9362

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Martin Bloom, CSA, CLTC

Title

President

Phone

(510) 835-9362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homewatch CareGivers of Oakland Doing business as

Locations

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1982225561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115616",
            "telephone_number": "510-835-9362",
            "fax_number": "510-835-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115616",
            "telephone_number": "510-835-9362",
            "fax_number": "510-835-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM LIFECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-835-9362",
        "authorized_official_credential": "CSA, CLTC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DSS HOME CARE AIDE REGISTRY",
            "identifier": "014700063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Oakland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M. Bliss, MD
• Ellen V Bloch, M.S.
• Ashley Block
• Jody Block, RN
• Carolyn M Blodgett, L.C.S.W.
• Amanda Bloom, PA-C
• Erika Bloom, MFT
• Joan D Bloom, NP
• Lauren Bloom, MA, MSSW
• Brenda J Bloomfield, L.C.S.W.

• In Home Supportive Care Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.