OrganizationActive
Blackbloom LLC
NPI 1073442786 · Respite Care · Vineyard, UT
Provider details
- NPI number
- 1073442786
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Darcy Gisa, Ceo(530) 425-8114
Specialties & taxonomies
Respite Care Facility
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
105 E 670 N
Vineyard, UT 84059-6568
Phone: (530) 560-9138
Approximate (ZIP-level) locationGet directions
Mailing address
105 E 670 N
Vineyard, UT 84059-6568
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.