Healthcare Provider Details

I. General information

NPI: 1417882903
Provider Name (Legal Business Name): BLOOMING IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 NW 5TH ST STE 200J
PLANTATION FL
33317-1613
US

IV. Provider business mailing address

7520 NW 5TH ST STE 200J
PLANTATION FL
33317-1613
US

V. Phone/Fax

Practice location:
  • Phone: 754-326-0450
  • Fax:
Mailing address:
  • Phone: 754-326-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHIEKA DAVIS
Title or Position: OWNER
Credential: LCSW
Phone: 754-326-0450