Healthcare Provider Details

I. General information

NPI: 1104406917
Provider Name (Legal Business Name): BLOOM HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 SHERMAN PL STE 421
WEST HILLS CA
91307-2035
US

IV. Provider business mailing address

23101 SHERMAN PL STE 421
WEST HILLS CA
91307-2035
US

V. Phone/Fax

Practice location:
  • Phone: 747-444-9055
  • Fax: 747-444-4011
Mailing address:
  • Phone: 747-444-9055
  • Fax: 747-444-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HASSAN ZARE
Title or Position: CEO
Credential:
Phone: 747-444-9055