# BLOOM HAVEN HOME CARE,LLC

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

## Provider details

- **NPI number:** 1780530212
- **Authorized official:** KRISTIAN NASH (OWNER)
- **Authorized official phone:** (601) 685-0044

## Contact information

- **Practice address:** 5036 DENALI DR, STONE MOUNTAIN, GA 30087-1107
- **Practice address phone:** (601) 685-0044
- **Mailing address:** 5036 DENALI DR, STONE MOUNTAIN, GA 30087-1107
- **Mailing address phone:** (601) 685-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/17/2026