Organization Active NPI

Bloom Firm, LLC

  • Home Health Agency
  • Port Saint Lucie, FL
National Provider Identifier
1063993699
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOOM FIRM, LLC
Practice address
1714 SW Cycle St
Port Saint Lucie, FL 34953
Phone
(772) 249-6802
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Mr. Carl Marcel, RN
Title
Head of Operations
Phone
(772) 985-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1714 SW Cycle St
Port Saint Lucie, FL 34953

Mailing address

1714 SW Cycle St
Port Saint Lucie, FL 34953-1128

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1063993699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SW CYCLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW CYCLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-249-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FIRM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "MARCEL",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "772-985-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.