Organization
BLACKBLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY GISA (CEO)
(530) 425-8114
Entity
Organization
Contact information
Practice address
105 E 670 N, VINEYARD, UT 84059-6568
(530) 560-9138
Mailing address
7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084-5526
(530) 425-8114
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
07/08/2026
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