Healthcare Provider Details

I. General information

NPI: 1841120953
Provider Name (Legal Business Name): BLOOM SENIOR CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8616 21ST AVE APT 1B
BROOKLYN NY
11214-4060
US

IV. Provider business mailing address

8616 21ST AVE APT 1B
BROOKLYN NY
11214-4060
US

V. Phone/Fax

Practice location:
  • Phone: 332-320-5842
  • Fax:
Mailing address:
  • Phone: 332-320-5842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WEN ZHOU
Title or Position: PRESIDENT
Credential:
Phone: 332-320-5842