Organization
BLOOM LIFECARE
Active
Other names
Homewatch CareGivers of Oakland
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MARTIN BLOOM CSA, CLTC (PRESIDENT)
(510) 835-9362
Entity
Organization
Contact information
Practice address
3820 BROADWAY, OAKLAND, CA 94611-5616
(510) 835-9362
(510) 835-9362
Mailing address
3820 BROADWAY, OAKLAND, CA 94611-5616
(510) 835-9362
(510) 835-9362
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014700063
CA DSS HOME CARE AIDE REGISTRY
CA
Enumeration date
05/05/2020
Last updated
05/05/2020
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