National Provider Identifier Database

BLACKBLOOM INC
Respite Care


Contact Information

BLACKBLOOM INC
105 E 670 N
VINEYARD, UT84059-6568
Phone: 530-560-9138
Fax:
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for BLACKBLOOM INC

NPI Number 1073442786
Legal business name
LBN
BLACKBLOOM INC
Authorized official DARCY GISA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/18/2026
Last updated 05/18/2026 - About 3 weeks 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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