Bloomhaven Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLOOMHAVEN WELLNESS CENTER

Practice address

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Phone

(832) 466-2215

NPI assigned

Feb 4, 2026

Organization subpart

No

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

Authorized official

Name

Jasmine N Randolph

Title

Manager

Phone

(832) 730-9817

Specialties & licenses 4

Addresses

Other names 1

• Bloomhaven Wellness Retreats Doing business as

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1093666265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 CAPITOL ST APT 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770033150",
            "telephone_number": "832-466-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "832-466-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMHAVEN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-730-9817"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomhaven Wellness Retreats",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin L Bloom, M.D.
• Mona B Bloom, M.D.
• Olivia Bloom
• Bloomcare & Co LLC
• David M Bloome, M.D.
• Blooming Arc Psychiatric Care PLLC
• Blooming Minds Joyful Hearts, PLLC
• Blooming Minds Therapy
• Blooming Tulips-Therapy and Consulting, PLLC
• Robert Bloss, M.D.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.