Bloom at Kokomo, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOM AT KOKOMO, LLC

Doing business as

Bloom at Kokomo

Practice address

2800 S Dixon Rd
Kokomo, IN 46902-6403

Phone

(765) 455-2828

NPI assigned

Apr 3, 2019

Last updated

Apr 3, 2019By 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

Scott Kantor

Title

Owner

Phone

(248) 642-2914

Specialties & licenses 1

Addresses

Other names 1

• Bloom at Kokomo Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1366904872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E BROWN ST STE 315",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096232",
            "telephone_number": "248-642-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026403",
            "telephone_number": "765-455-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM AT KOKOMO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-642-2914"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom at Kokomo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Marie Blackmon, DMD
• Kaiden Blane
• Aerial Blanton
• Bobby C Blanton
• Jacob Bledsoe, DO
• Blooming Minds LLC
• Board of Trustee of Howard Community Hospital (Howard Regional Health System)
• Board of Trustees of Howard Community Hospital (Howard Regional Health System - Peter Klim, DO)
• Board of Trustees of Howard Community Hospital (Howard Regional Health System - Robert Steele, MD)
• Board of Trustees of Howard Community Hospital (North Central Indiana Otolaryngology)

• Assisted Living Facility in Kokomo, IN
• Providers in Kokomo, 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 Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.