Life Blooms Healthcare Services, LLC
Clinic/Center, Infusion Therapy in Miami Gardens, FL. Organization (NPI-2).
NPI number1316699283
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1316699283
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Blooms Healthcare Services, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
Other names
- Life Blooms IV Hydration Health & Wellness Mobile Bar (Doing Business As)
Practice location
3501 Nw 212th StMiami Gardens, FL 33056-1019
Phone 305-785-7259
Mailing address
3501 Nw 212th StMiami Gardens, FL 33056-1019
Phone 305-785-7259
Authorized official
Iaisa Shikema Bloom
Ceo & Owner
3057857259
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