BLOOM CARE LLC


Address: 6965 N Glenwood St, Boise, ID 83714-1967
Phone: 2088533000

BLOOM CARE LLC (NPI# 1679134126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679134126
Entity Type Organization
Organization Name BLOOM CARE LLC
Practice Address 6965 N Glenwood St
Boise
ID 83714-1967
Mailing Address 50 Henry St
Cortez
CO 81321-3012
Practice Telephone 2088533000
Enumeration Date 2019-06-25
Last Update Date 2019-12-19
Authorized Official Name SPENCER SMITH (OWNER)
Authorized Official Telephone 2088533000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
AFC Urgent Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780291088 Bloom Care LLC Clinic/Center 1610 Caldwell Blvd, Nampa, ID 83651-1728 2020-09-30

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Bloom Care LLC 50 Henry St, Cortez, CO 81321

Office Location

Street Address 6965 N GLENWOOD ST
City BOISE
State ID
Zip Code 83714-1967

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City BOISE
Zip Code 83714

Improve Information

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Dataset Information

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.

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