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NPI Code Detail

MEDICARE: CAREBLOOM HOME HEALTHCARE SERVICES, LLC

MEDICARE: CAREBLOOM HOME HEALTHCARE SERVICES, 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
1163W00000XRegistered Nurse

General Provider Information

NPI Number : 1871448324
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREBLOOM HOME HEALTHCARE SERVICES, LLC
Provider Business Mailing Address
First Line : 64 ABERDEEN WAY
Second Line :
City : DALLAS
State : GA
Zip : 30132-1996
Country : US
Telephone Number : 404-553-1235
Fax Number :
Provider Business Practice Location Address
First Line : 64 ABERDEEN WAY
Second Line :
City : DALLAS
State : GA
Zip : 30132-1996
Country : US
Telephone Number : 404-553-1235
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ADENIYI OLOMOLA
Credential : RN
Telephone Number : 404-553-1235
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “CAREBLOOM HOME HEALTHCARE SERVICES, LLC ” Practice Location

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