Provider Demographics
NPI:1780031914
Name:BLOOMING GARDENS OF CARE INC
Entity Type:Organization
Organization Name:BLOOMING GARDENS OF CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IMERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-787-2964
Mailing Address - Street 1:7211 N DALE MABRY HWY
Mailing Address - Street 2:STE 206
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:813-563-6182
Mailing Address - Fax:813-569-6633
Practice Address - Street 1:7211 N DALE MABRY HWY
Practice Address - Street 2:STE 206
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-563-6182
Practice Address - Fax:813-569-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health