Provider Demographics
NPI:1336435528
Name:CALGROVE ASSOCIATES
Entity Type:Organization
Organization Name:CALGROVE ASSOCIATES
Other - Org Name:BLOOM THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OGBONNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:OTUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-754-4341
Mailing Address - Street 1:2425 HOLLY HALL ST STE 44
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3968
Mailing Address - Country:US
Mailing Address - Phone:832-754-4341
Mailing Address - Fax:
Practice Address - Street 1:2425 HOLLY HALL ST STE 44
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3968
Practice Address - Country:US
Practice Address - Phone:832-754-4341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-26
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health