MEDICARE: BLOOMING IN 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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1417882903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING IN CARE LLC

Provider Business Mailing Address
First Line	:	7520 NW 5TH ST STE 200J
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1613
Country	:	US
Telephone Number	:	754-326-0450
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 NW 5TH ST STE 200J
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1613
Country	:	US
Telephone Number	:	754-326-0450
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHIEKA DAVIS
Credential	:	LCSW
Telephone Number	:	754-326-0450

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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