Bloomfield Senior Living of Park, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOMFIELD SENIOR LIVING OF PARK, LLC

Practice address

5045 W 52ND St
Indianapolis, IN 46254-1705

Phone

(317) 293-2929

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Scott Kantor

Title

President

Phone

(312) 854-7104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1306146667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 W 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541705",
            "telephone_number": "317-293-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD SENIOR LIVING OF PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-854-7104"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa F Bloom, NNP
• Ronald Bloom, MD
• Bloomed
• Ainsley Katherine Bloomer, MD
• Bloomfield Senior Living of Glen, LLC
• Alec James Bloomfield, PHARMD
• Devin Bloomfield, RBT
• Blooming Lily Family Services
• Blooming Roses LLC
• Krista Ann Blosser, M.A., CCC-SLP

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.