Organization
BLOOMING HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON PAGE RITTENBERY (OWNER)
(531) 721-6932
Entity
Organization
Contact information
Practice address
1412 NEPTUNE DR, CARTER LAKE, IA 51510-1443
(531) 721-6932
Mailing address
1412 NEPTUNE DR, CARTER LAKE, IA 51510-1443
(531) 721-6932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/18/2025
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