Active NPI
Bloom Supports
- Case Manager/Care Coordinator
- Campbellsville, KY
National Provider Identifier
1164378907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BLOOM SUPPORTS
- Practice address
- 589 Feather Creek Rd
Campbellsville, KY 42718-4988 - Phone
- (270) 789-8956
- NPI assigned
- Mar 5, 2026
- Last updated
- Mar 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Paris
- Title
- Owner
- Phone
- (270) 789-8956
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
589 Feather Creek Rd
Campbellsville, KY 42718-4988
Mailing address
589 Feather Creek Rd
Campbellsville, KY 42718-4988
Phone (270) 789-8956
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1164378907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 FEATHER CREEK RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184988",
"telephone_number": "270-789-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 FEATHER CREEK RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184988",
"telephone_number": "270-789-8956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM SUPPORTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "PARIS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-789-8956"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.