CEDARBLOOM LIMITED LIABILITY COMPANY NPI 1134933146

NPI Information

  • NPI: 1134933146
  • Provider Name: CEDARBLOOM, LIMITED LIABILITY COMPANY
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 4101 WILLIAM D TATE AVE STE 212
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 704-0544

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NPI Details

CEDARBLOOM, LIMITED LIABILITY COMPANY is an in home supportive care in Grapevine, TX. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. CEDARBLOOM, LIMITED LIABILITY COMPANY NPI is 1134933146. The provider is registered as an organization entity type.

The provider's business location address is:

4101 WILLIAM D TATE AVE STE 212
GRAPEVINE, TX
ZIP 76051-726
Phone: (817) 704-0544
Fax: (214) 945-1009

The provider's authorized official is Olaleye Augustine Olowookere .
The authorized official title is Administrator and has the following contact phone number (312) 451-6917.

The enumeration date for this NPI number is 2/3/2025 and was last updated on 2/3/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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