NPIMap

Organization Active NPI

Blooming Minds Child Development, LLC

  • Early Intervention Provider Agency
  • Ozone Park, NY
National Provider Identifier
1023606019
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BLOOMING MINDS CHILD DEVELOPMENT, LLC
Practice address
8164 102ND Ave Apt 1
Ozone Park, NY 11416-2045
Phone
(347) 721-0441
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Graciano, MSEDNPI 1922544519
Title
Teacher
Phone
(347) 721-0441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

8164 102ND Ave Apt 1
Ozone Park, NY 11416-2045

Mailing address

8164 102ND Ave Apt 1
Ozone Park, NY 11416-2045
Phone (347) 721-0441

Other names 1

  • Blooming Minds Child Development, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.google.com/mail/u/1/#inbox Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1023606019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8164 102ND AVE APT 1",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162045",
            "telephone_number": "347-721-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8164 102ND AVE APT 1",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162045",
            "telephone_number": "347-721-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MINDS CHILD DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "GRACIANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "347-721-0441",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/1/#inbox",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8164 102nd Ave",
            "city": "Ozone Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114162045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blooming Minds Child Development, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.