BLOOM HOSPICE LLC NPI 1215691472

NPI Information

BLOOM HOSPICE LLC is a hospice care community based in Dearborn, MI. BLOOM HOSPICE LLC NPI is 1215691472. The provider is registered as an organization entity type.

The provider's business location address is:

5901 CHASE RD STE 210A
DEARBORN, MI
ZIP 48126-900
Phone: (313) 644-2066
Fax: (313) 650-3030

The provider's authorized official is Waleed Lakhani .
The authorized official title is Administrator and has the following contact phone number (313) 644-2066.

The CLIA number assigned to this NPI record is 23D2277971 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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