# BLOOM LIFECARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homewatch CareGivers of Oakland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982225561
- **Authorized official:** BENJAMIN MARTIN BLOOM CSA, CLTC (PRESIDENT)
- **Authorized official phone:** (510) 835-9362

## Contact information

- **Practice address:** 3820 BROADWAY, OAKLAND, CA 94611-5616
- **Practice address phone:** (510) 835-9362
- **Practice address fax:** (510) 835-9362
- **Mailing address:** 3820 BROADWAY, OAKLAND, CA 94611-5616
- **Mailing address phone:** (510) 835-9362
- **Mailing address fax:** (510) 835-9362

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 05/05/2020