National Provider Identifier Database

BLOOM ALASKA HEALTHCARE SERVICES LLC
Hospice Care, Community Based


Contact Information

BLOOM ALASKA HEALTHCARE SERVICES, LLC
341 W TUDOR RD
SUITE 104
ANCHORAGE, AK99503-6639
Phone: 907-770-8588
Fax: 907-868-8873
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BLOOM ALASKA HEALTHCARE SERVICES, LLC

NPI Number 1346580776
Legal business name
LBN
BLOOM ALASKA HEALTHCARE SERVICES, LLC
Authorized official CECILIO FLORES - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/21/2013
Last updated 02/21/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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