Bloom Home Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOM HOME ASSISTED LIVING

Practice address

2509 W Bloomfield Rd
Phoenix, AZ 85029-2538

Phone

(480) 577-9460

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Nkemakolam Maxwell Iroegbulam

Title

Manager

Phone

(480) 577-9460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nkemakolam Maxwell Iroegblam

  • Assisted Living Facility
  • Phoenix, AZ
  • NPI 1750245767
  NPD

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1235075086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W BLOOMFIELD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292538",
            "telephone_number": "480-577-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W BLOOMFIELD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292538",
            "telephone_number": "480-577-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOME ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "IROEGBULAM",
        "authorized_official_first_name": "NKEMAKOLAM",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-577-9460"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.