BLOOMING GARDEN LLC NPI 1437021508

NPI Information

  • NPI: 1437021508
  • Provider Name: BLOOMING GARDEN LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 50D2268816
  • Address: 16231 NE 1ST ST
    BELLEVUE, WA
    ZIP 98008
  • Phone: (425) 900-4171

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NPI Details

BLOOMING GARDEN LLC is an adult care home custodial care facility in Bellevue, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. BLOOMING GARDEN LLC NPI is 1437021508. The provider is registered as an organization entity type.

The provider's business location address is:

16231 NE 1ST ST
BELLEVUE, WA
ZIP 98008-407
Phone: (425) 900-4171
Fax: (425) 590-9086

The provider's authorized official is Melaku Mekuria .
The authorized official title is Owner and has the following contact phone number (425) 900-4171.

The CLIA number assigned to this NPI record is 50D2268816 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2025 and was last updated on 9/19/2025.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

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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