Organization
BLOOMING HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE CARTER MHA, BS (CEO)
(601) 966-4661
Entity
Organization
Contact information
Practice address
11746 JEFF HEARN RD SUITE 102, COLLINSVILLE, MS 39325
(601) 342-0474
Mailing address
PO BOX 525, SHUBUTA, MS 39360-0525
(601) 966-4661
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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