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Active NPI 1669205076 Organization (Entity Type 2)

Cedarbloom, Llc

In Home Supportive Care • Grapevine, TX

About Cedarbloom, Llc NPI 1669205076 Summary

Cedarbloom, Llc is a verified healthcare organization specializing in In Home Supportive Care operating in Grapevine, TX. Located at 4101 WILLIAM D TATE AVE STE 212, this facility provides patient care and medical services under National Provider Identifier (NPI) 1669205076.

Administrative operations and authorized compliance are overseen by Olaleye Olowookere (Owner).

Facility Location & Contact Primary Location

Facility Address

4101 William D Tate Ave Ste 212

Grapevine, TX 760515726

Telephone 3124516917

Authorized Official Information

Authorized Contact Name

Olaleye Olowookere , RN

Title / Role

Owner

Official Telephone

3124516917

Facility Classifications & Specialties

In Home Supportive Care Primary Taxonomy

NUCC Taxonomy Code: 253Z00000X

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active August 21, 2024

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2024

Registered at 4101 WILLIAM D TATE AVE STE 212, GRAPEVINE, TX 760515726 (Tel: 3124516917)

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Updated Business Mailing Address August 21, 2024

Registered at 4101 WILLIAM D TATE AVE STE 212, GRAPEVINE, TX 760515726 (Tel: 3124516917)

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Organization / Clinic Name Updated August 21, 2024

Operating as CEDARBLOOM, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

In Home Supportive Care

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Initial NPI Registration & Enumeration August 21, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1669205076

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 21, 2024

Last Update: August 21, 2024

Update or Correct Listing

Mailing Address

4101 William D Tate Ave Ste 212

Grapevine, TX 760515726

Phone: 3124516917

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.