Provider Demographics
NPI:1053906149
Name:BLOOMING ROSES HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:BLOOMING ROSES HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:LADEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-373-3075
Mailing Address - Street 1:6496 IRON HORSE BLVD APT 1101
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6143
Mailing Address - Country:US
Mailing Address - Phone:682-373-3075
Mailing Address - Fax:
Practice Address - Street 1:6496 IRON HORSE BLVD APT 1101
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6143
Practice Address - Country:US
Practice Address - Phone:682-373-3075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle