Provider Demographics
NPI:1659041721
Name:BLOOMING ROSES INC.
Entity Type:Organization
Organization Name:BLOOMING ROSES INC.
Other - Org Name:BLOOMING ROSES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSEFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-226-1342
Mailing Address - Street 1:1199 DELBON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2006
Mailing Address - Country:US
Mailing Address - Phone:209-226-1342
Mailing Address - Fax:209-226-1363
Practice Address - Street 1:1199 DELBON AVE STE 6
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2006
Practice Address - Country:US
Practice Address - Phone:209-226-1342
Practice Address - Fax:209-226-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health