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Contact Information

LEGACY BLOOMS SENIOR SOLUTIONS LLC
6900 W MARKHAM ST
LITTLE ROCK, AR72205-2775
 Phone: 870-253-3219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for LEGACY BLOOMS SENIOR SOLUTIONS LLC

NPI # 1194695411
LBN Legal business name LEGACY BLOOMS SENIOR SOLUTIONS LLC
Authorized official DESIREE GRAVES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2025
Last updated 11/11/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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