Healthcare Provider Details

I. General information

NPI: 1386583904
Provider Name (Legal Business Name): CAREBLOOM HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 CASSIDY DR
SAINT CLOUD FL
34771-7001
US

IV. Provider business mailing address

1675 CASSIDY DR
SAINT CLOUD FL
34771-7001
US

V. Phone/Fax

Practice location:
  • Phone: 305-397-5448
  • Fax:
Mailing address:
  • Phone: 305-397-5448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MAYELIN BANEGA
Title or Position: OWNER
Credential:
Phone: 305-397-5448