MEDICARE: ABLOOM CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245186717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLOOM CARE LLC

Provider Business Mailing Address
First Line	:	2499 RICE ST STE 95
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2499 RICE ST STE 95
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-3724
Country	:	US
Telephone Number	:	763-303-1118
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ABDIWAHID ALI
Credential	:
Telephone Number	:	763-303-1118

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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Directions to “ABLOOM CARE LLC ” Practice Location

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