MEDICARE: BLOOMING CARE HOME HEALTH

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	:	1982541058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING CARE HOME HEALTH

Provider Business Mailing Address
First Line	:	5301 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4966
Country	:	US
Telephone Number	:	424-493-7209
Fax Number	:	424-316-3003

Provider Business Practice Location Address
First Line	:	5301 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4966
Country	:	US
Telephone Number	:	424-493-7209
Fax Number	:	424-316-3003

Authorized Official
Title or Position	:	CEO
Name	:	SONA GRIGORYAN
Credential	:
Telephone Number	:	424-493-7209

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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Directions to “BLOOMING CARE HOME HEALTH ” Practice Location

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