Affinity Bloom Healthcare Agency INC
Home Health in Detroit, MI. Organization (NPI-2).
NPI number1417713496
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1417713496
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Bloom Healthcare Agency INC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251F00000X | Home Infusion | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
18570 Grand River Ave Ste 100dDetroit, MI 48223-2201
Phone 313-566-3486
Mailing address
18570 Grand River Ave Ste 100dDetroit, MI 48223-2201
Phone 313-566-3486
Authorized official
Latasha Irene Baldwin
Ceo
3135663486
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