# BLOOMING GARDEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437021508
- **Authorized official:** MELAKU MEKURIA (OWNER)
- **Authorized official phone:** (425) 900-4171

## Contact information

- **Practice address:** 16231 NE 1ST ST, BELLEVUE, WA 98008-4407
- **Practice address phone:** (425) 900-4171
- **Practice address fax:** (425) 590-9086
- **Mailing address:** 16231 NE 1ST ST, BELLEVUE, WA 98008-4407
- **Mailing address fax:** (425) 590-9086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2025
- **Last updated:** 09/19/2025
