Bloom Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM SUPPORT SERVICES

Practice address

572 Christopher St
Orange, NJ 07050-1238

Phone

(848) 395-6668

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olayimika Adeboye

Title

Ceo

Phone

(848) 395-6668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1164328498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CHRISTOPHER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501238",
            "telephone_number": "848-395-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 CHRISTOPHER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501238",
            "telephone_number": "848-395-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "ADEBOYE",
        "authorized_official_first_name": "OLAYIMIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "848-395-6668"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.