Bloom Services of Maryland

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM SERVICES OF MARYLAND

Practice address

3527 N Rolling Rd Ste 7
Windsor Mill, MD 21244-2256

Phone

(443) 406-6552

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By 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

Mrs. Charlene Krider

Title

Owner

Phone

(443) 406-6552

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1295496735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CRAIN HWY # 116",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161303",
            "telephone_number": "301-379-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 N ROLLING RD STE 7",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442256",
            "telephone_number": "443-406-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SERVICES OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "KRIDER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-406-6552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@bloomservicesofmd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3527 N Rolling Rd Ste 7",
            "city": "Windsor Mill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212442256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.