Active NPI
Blessed Builders - Ministry
- Substance Use Disorder Rehabilitation Clinic/Center
- Bismarck, ND
National Provider Identifier
1174265359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BLESSED BUILDERS - MINISTRY
- Practice address
- 2700 State St Ste F6
Bismarck, ND 58503-0669 - Phone
- (701) 390-5033
- NPI assigned
- Apr 8, 2022
- 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
- Krystal C Bloom
- Title
- Director
- Phone
- (701) 390-5033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
2700 State St Ste F6
Bismarck, ND 58503-0669
Mailing address
376 Lunar LN
Bismarck, ND 58503-0468
Phone (701) 390-5033
Other names 2
- BBM
- Blessed Builders
National Provider Directory
National Provider DirectoryLocations
2700 State St
Ste F6
Bismarck, ND 58503
Phone (701) 390-5033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656028800000",
"number": "1174265359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 LUNAR LN",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030468",
"telephone_number": "701-390-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 STATE ST STE F6",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030669",
"telephone_number": "701-390-5033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSED BUILDERS - MINISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "701-390-5033"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BBM",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BBM",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Blessed Builders",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.