# BLOOMING HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1750115135
- **Authorized official:** CATINA STEPHENSON (OWNER)
- **Authorized official phone:** (314) 477-1925

## Contact information

- **Practice address:** 12511 BIELEFELD CT, BLACK JACK, MO 63033-4200
- **Practice address phone:** (314) 477-1925
- **Mailing address:** 12511 BIELEFELD CT, BLACK JACK, MO 63033-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024