Provider Demographics
NPI:1215539036
Name:BLOOMMORE SERVICES LLC
Entity Type:Organization
Organization Name:BLOOMMORE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOKIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-780-6521
Mailing Address - Street 1:29715 CRESTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4542
Mailing Address - Country:US
Mailing Address - Phone:216-780-6521
Mailing Address - Fax:
Practice Address - Street 1:29715 CRESTHAVEN DR
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-4542
Practice Address - Country:US
Practice Address - Phone:216-780-6521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency