BLOOM LIFECARE (NPI# 1982225561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982225561 |
| Entity Type | Organization |
| Organization Name | BLOOM LIFECARE |
| Practice Address |
3820 Broadway Oakland CA 94611-5616 |
| Practice Telephone | 5108359362 |
| Practice Fax Number | 5108359362 |
| Mailing Telephone | 5108359362 |
| Mailing Fax Number | 5108359362 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | BENJAMIN MARTIN BLOOM (PRESIDENT) |
| Authorized Official Telephone | 5108359362 |
| Authorized Official Credential | CSA, CLTC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DSS HOME CARE AIDE REGISTRY | 014700063 | 01 |
| Other Name | Type Code |
|---|---|
| Homewatch CareGivers of Oakland | Doing Business As Name - Organization |
| Street Address |
3820 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610808 | Astra Health Care | In Home Supportive Care | 55 Santa Clara Ave, 255, Oakland, CA 94610-1375 | 2012-09-02 |
| 1104116979 | At Home Assistance, Inc. | In Home Supportive Care | 7307 Edgewater Dr, Oakland, CA 94621-3015 | 2011-04-13 |
| 1780059667 | Sos | In Home Supportive Care | 409 E Oakland Ave, Oakland, FL 34787-3070 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619434 | Prestige Home Care Angels Inc | In Home Supportive Care | 4531 Bedilion St, Los Angeles, CA 90032-2001 | 2020-11-03 |
| 1316547458 | Seniors Who Help Seniors Inc. | In Home Supportive Care | 577 E Elder St Ste U, Fallbrook, CA 92028-3079 | 2020-10-28 |
| 1386244465 | Silver Screen Senior Care LLC | In Home Supportive Care | 1333 S Beverly Glen Blvd Apt 906, Los Angeles, CA 90024-5277 | 2020-10-28 |
| 1861091373 | C'e Bella Home Care LLC | In Home Supportive Care | 82784 Longfellow Ct, Indio, CA 92201-9326 | 2020-10-26 |
| 1932708591 | At Home Care Companion Services Inc | In Home Supportive Care | 2814 Buttercup Ct, Antioch, CA 94531-6306 | 2020-10-23 |
| 1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
| 1144829912 | A Shade of Love LLC | In Home Supportive Care | 9462 Oak St Apt 8, Bellflower, CA 90706-5264 | 2020-10-22 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1790383172 | Beverley's Home Healthcare LLC | In Home Supportive Care | 2450 E Del Mar Blvd Unit 17, Pasadena, CA 91107-4809 | 2020-10-16 |
| 1467050955 | Health Redesigned | In Home Supportive Care | 12139 Mount Vernon Ave Ste 203, Grand Terrace, CA 92313-5547 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.