Provider Demographics
NPI:1457169393
Name:EMPATHY BLOOM HOME CARE LLC
Entity type:Organization
Organization Name:EMPATHY BLOOM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-435-1437
Mailing Address - Street 1:7909 LAMON AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3031
Mailing Address - Country:US
Mailing Address - Phone:224-435-1437
Mailing Address - Fax:
Practice Address - Street 1:7909 LAMON AVE APT 2A
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3031
Practice Address - Country:US
Practice Address - Phone:224-435-1437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty