Healthcare Provider Details

I. General information

NPI: 1639630858
Provider Name (Legal Business Name): BLOOM AND SHINE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 AIRPORT RD STE 27
CONCORD NH
03301-5326
US

IV. Provider business mailing address

90 AIRPORT RD STE 27
CONCORD NH
03301-5326
US

V. Phone/Fax

Practice location:
  • Phone: 603-227-6789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SURAJ BUDATHOKI
Title or Position: OWNER
Credential:
Phone: 603-227-6789