Active NPI
Life Blooms Healthcare Services, LLC
- Infusion Therapy Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1316699283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- LIFE BLOOMS HEALTHCARE SERVICES, LLC
- Practice address
- 3501 NW 212TH St
Miami Gardens, FL 33056-1019 - Phone
- (305) 785-7259
- NPI assigned
- Jan 21, 2022
- Organization subpart
- Yes
- Parent organization
- LIFE BLOOMS HEALTHCARE SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iaisa Shikema Bloom, APRN FNP-BC
- Title
- Ceo & Owner
- Phone
- (305) 785-7259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
3501 NW 212TH St
Miami Gardens, FL 33056-1019
Mailing address
3501 NW 212TH St
Miami Gardens, FL 33056-1019
Phone (305) 785-7259
Other names 1
- Life Blooms IV Hydration Health & Wellness Mobile Bar
National Provider Directory
National Provider Directory- Part of
- Life Blooms Healthcare Services LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Boynton Beach, FL
- NPI 1326635970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1316699283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 NW 212TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330561019",
"telephone_number": "305-785-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 NW 212TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330561019",
"telephone_number": "305-785-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE BLOOMS HEALTHCARE SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE BLOOMS HEALTHCARE SERVICES, LLC",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "IAISA",
"authorized_official_middle_name": "SHIKEMA",
"authorized_official_title_or_position": "CEO & OWNER",
"authorized_official_telephone_number": "305-785-7259",
"authorized_official_credential": "APRN FNP-BC"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Blooms IV Hydration Health & Wellness Mobile Bar",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.