Organization
BLOOM HOMEHEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETTA ADELE SAMANTHA ROTH (OWNER)
(909) 918-8922
Entity
Organization
Contact information
Practice address
2012 JUSTIN RD, LEWISVILLE, TX 75077
(214) 998-5544
Mailing address
3039 NOWITZKI WAY APT 3112, DALLAS, TX 75219-7985
(909) 918-8922
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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