Bloom and Blossom Learning Support

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BLOOM AND BLOSSOM LEARNING SUPPORT

Practice address

7329 173Rd St
Fresh Meadows, NY 11366-1429

Phone

(347) 426-6590

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Yelena Pirova, MSED, LBA

Title

Ceo

Phone

(347) 426-6590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1215610100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 173RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661429",
            "telephone_number": "347-426-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 173RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661429",
            "telephone_number": "347-426-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM AND BLOSSOM LEARNING SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "PIROVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-426-6590",
        "authorized_official_credential": "MSED, LBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Aug 8, 2023; 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.