Organization Active NPI

Carolina Blooms Early Intervention

  • Early Intervention Provider Agency
  • Florence, SC
National Provider Identifier
1366370264
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CAROLINA BLOOMS EARLY INTERVENTION
Practice address
1245 Celebration Blvd
Florence, SC 29501-5499
Phone
(864) 584-8315
Fax
(864) 551-2758
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Mr. Darrell Tennie
Title
Administrator
Phone
(919) 217-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1245 Celebration Blvd
Florence, SC 29501-5499

Mailing address

1245 Celebration Blvd
Florence, SC 29501-5499
Phone (864) 584-8315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1366370264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CELEBRATION BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015499",
            "telephone_number": "864-584-8315",
            "fax_number": "864-551-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CELEBRATION BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015499",
            "telephone_number": "864-584-8315",
            "fax_number": "864-551-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BLOOMS EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "TENNIE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-217-0933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.