Provider Demographics
NPI:1457146177
Name:BLOOMING SUN, LLC
Entity type:Organization
Organization Name:BLOOMING SUN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- WONDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-450-4087
Mailing Address - Street 1:135 PASEO DEL PRADO AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9615
Mailing Address - Country:US
Mailing Address - Phone:956-450-4087
Mailing Address - Fax:956-450-4089
Practice Address - Street 1:135 PASEO DEL PRADO AVE STE 8
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9615
Practice Address - Country:US
Practice Address - Phone:956-450-4087
Practice Address - Fax:956-450-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care