NPIMap

Organization Active NPI

Blooming Hearts

  • Day Training/Habilitation Specialist
  • Fairbanks, AK
National Provider Identifier
1336634757
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
BLOOMING HEARTS
Practice address
201 Old Steese Hwy Ste 5
Fairbanks, AK 99701-3160
Phone
(907) 382-2245
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Cristina TitusNPI 1285100065
Title
Program Administrator/Co-Owner
Phone
(509) 859-3678

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)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

201 Old Steese Hwy Ste 5
Fairbanks, AK 99701-3160

Mailing address

PO Box 74249
Fairbanks, AK 99707-4249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1336634757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74249",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997074249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD STEESE HWY STE 5",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013160",
            "telephone_number": "907-382-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR/CO-OWNER",
        "authorized_official_telephone_number": "509-859-3678"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.