MEDICARE: ABLOOM HEALTH CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619675600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLOOM HEALTH CARE

Provider Business Mailing Address
First Line	:	51 W ELLIOT RD STE 102
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1311
Country	:	US
Telephone Number	:	480-590-0020
Fax Number	:	480-590-0809

Provider Business Practice Location Address
First Line	:	51 W ELLIOT RD STE 102
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1311
Country	:	US
Telephone Number	:	480-590-0020
Fax Number	:	480-590-0809

Authorized Official
Title or Position	:	CEO
Name	:	MATTIE GAFFNEY
Credential	:
Telephone Number	:	480-590-0020

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	10/06/2023

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Directions to “ABLOOM HEALTH CARE ” Practice Location

Language	Start Address	Practice Location

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