1790291649 NPI number — BLOOM BEHAVIOR SERVICES LLC

Table of content: (NPI 1790291649)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790291649 NPI number — BLOOM BEHAVIOR SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLOOM BEHAVIOR SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790291649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6239 EDGEWATER DR STE N4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32810-4736
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-900-5532
Provider Business Mailing Address Fax Number:
321-244-0645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6239 EDGEWATER DR STE N4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32810-4736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-900-5532
Provider Business Practice Location Address Fax Number:
321-244-0645
Provider Enumeration Date:
12/14/2017

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDS
Authorized Official First Name:
MIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
407-758-4948

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 018854500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 023345100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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