MEDICARE: SOLACE BLOOM SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1124901152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLACE BLOOM SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1842 CONE ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4304
Country	:	US
Telephone Number	:	419-277-5507
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 CONE ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4304
Country	:	US
Telephone Number	:	419-277-5507
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIAH BAPTISTE
Credential	:
Telephone Number	:	419-277-5507

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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