Provider Demographics
NPI:1669263810
Name:CAREBLOOM SERVICE LLC
Entity type:Organization
Organization Name:CAREBLOOM SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:562-212-4700
Mailing Address - Street 1:5220 CLARK AVE STE 345
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2637
Mailing Address - Country:US
Mailing Address - Phone:562-213-9137
Mailing Address - Fax:
Practice Address - Street 1:5220 CLARK AVE STE 345
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2637
Practice Address - Country:US
Practice Address - Phone:562-213-9137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care