Healthcare Provider Details

I. General information

NPI: 1407770860
Provider Name (Legal Business Name): CAREBLOOM SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19101 KUYKENDAHL RD APT 3213
SPRING TX
77379-5565
US

IV. Provider business mailing address

19101 KUYKENDAHL RD # 3213
SPRING TX
77379-5565
US

V. Phone/Fax

Practice location:
  • Phone: 346-837-3698
  • Fax:
Mailing address:
  • Phone:
  • 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: JULIET CHISOM OMOROSE
Title or Position: ADMINISTRATOR
Credential:
Phone: 346-837-3698