Organization Active NPI

Bloombridge Health Services

  • Community/Behavioral Health Agency
  • Lauderdale, MN
National Provider Identifier
1124810288
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLOOMBRIDGE HEALTH SERVICES
Practice address
2520 Larpenteur Ave W Ste 100
Lauderdale, MN 55113-5278
Phone
(614) 981-5367
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Aden Ismail Isse
Title
Owner
Phone
(614) 981-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2520 Larpenteur Ave W Ste 100
Lauderdale, MN 55113-5278

Mailing address

2520 Larpenteur Ave W Ste 100
Lauderdale, MN 55113-5278
Phone (614) 981-5367

National Provider Directory

National Provider Directory

Locations

2520 Larpenteur Ave W
Ste 100
Lauderdale, MN 55113
Phone (614) 981-5367

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1124810288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 LARPENTEUR AVE W STE 100",
            "city": "LAUDERDALE",
            "state": "MN",
            "postal_code": "551135278",
            "telephone_number": "614-981-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LARPENTEUR AVE W STE 100",
            "city": "LAUDERDALE",
            "state": "MN",
            "postal_code": "551135278",
            "telephone_number": "614-981-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMBRIDGE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "ADEN",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-981-5367"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.