NPI 1790664183 · live from the CMS NPI Registry
Blooming Life Center LLC
Home Health in Urbandale, IA. National Provider Identifier 1790664183, active.
NPI record
| NPI | 1790664183 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 4125 86th St, Urbandale, IA 50322 |
| Practice phone | 515-770-5368 |
| Enumerated | August 29, 2025 |
| Last updated | August 29, 2025 |
| Authorized official | Jonathan Butoto, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.