MEDICARE: BLOOM HOSPICE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1508432659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOM HOSPICE LLC

Provider Business Mailing Address
First Line	:	8125 N SAM HOUSTON PKWY W STE B-2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-3450
Country	:	US
Telephone Number	:	346-409-6361
Fax Number	:	346-214-7100

Provider Business Practice Location Address
First Line	:	8125 N SAM HOUSTON PKWY W STE B-2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-3450
Country	:	US
Telephone Number	:	346-409-6361
Fax Number	:	346-214-7100

Authorized Official
Title or Position	:	ALTERNATE ADMINISTRATOR
Name	:	MR. WALEED LAKHANI
Credential	:	MSW
Telephone Number	:	346-409-6361

Provider Enumeration Date	:	05/30/2021
Last Update Date	:	05/30/2021

Similar Medicare Providers

1346297702 — OLGA Y MORA NP
Practice Location Address:

3450 FM 1960 W
HOUSTON, TX
77068

Practice Phone: 281-444-1738
Practice Fax: 281-444-3084

1588681738 — WAL-MART STORES TEXAS LLC
Practice Location Address:

3450 FM 1960 RD W
HOUSTON, TX
77068-3606

Practice Phone: 281-440-0741
Practice Fax:

1619072352 — WAL-MART STORES TEXAS, LP
Practice Location Address:

3450 FM 1960 RD W
HOUSTON, TX
77068-3606

Practice Phone: 281-440-4482
Practice Fax:

1275692287 — SPACE CITY EMS LLC
Practice Location Address:

7999 HANSEN RD STE 308
HOUSTON, TX
77061-3450

Practice Phone: 713-944-4667
Practice Fax: 713-946-4888

1215197694 — MELISSA K NICHOLAS PA-C
Practice Location Address:

3450 FM 1960 WEST
HOUSTON, TX
76042-2435

Practice Phone: 281-444-1738
Practice Fax: 281-444-3084

1003063793 — C H WILKINSON PHYSICIAN NETWORK
Practice Location Address:

3450 FM 1960 WEST
HOUSTON, TX
77068-3606

Practice Phone: 281-444-1738
Practice Fax:

Directions to “BLOOM HOSPICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.