Provider Demographics
NPI:1275290348
Name:GLOBALFIED BLOOM LLC
Entity Type:Organization
Organization Name:GLOBALFIED BLOOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-897-6061
Mailing Address - Street 1:5878 WHITEBARK PINE TRL
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7456
Mailing Address - Country:US
Mailing Address - Phone:614-897-6061
Mailing Address - Fax:
Practice Address - Street 1:5878 WHITEBARK PINE TRL
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7456
Practice Address - Country:US
Practice Address - Phone:614-897-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health