Healthcare Provider Details

I. General information

NPI: 1265352124
Provider Name (Legal Business Name): BLOOM HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N LA SALLE AVE
SIOUX FALLS SD
57110-1228
US

IV. Provider business mailing address

205 N LA SALLE AVE
SIOUX FALLS SD
57110-1228
US

V. Phone/Fax

Practice location:
  • Phone: 605-961-7908
  • Fax:
Mailing address:
  • Phone: 605-961-7908
  • 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
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: PATRICK JEAN PAUL
Title or Position: CEO
Credential:
Phone: 605-961-7908