Bloom at St. Petersburg, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOM AT ST. PETERSBURG, LLC

Practice address

6775 40TH Ave N
St Petersburg, FL 33709-4939

Phone

(727) 800-6000

NPI assigned

Aug 18, 2017

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

(248) 642-2914

Specialties & licenses 1

Addresses

Other names 1

• Bloom at St. Pete Doing business as

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1366968612",
    "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": "12486422914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094939",
            "telephone_number": "727-800-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM AT ST. PETERSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-642-2914"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom at St. Pete",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom at St. Pete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Alexander Blitz, DC
• Nicole Block, MS CF-SLP
• Jennifer Blodgett
• Michael Brien Bloodworth Jr.
• Bloom & Wygodski Family Dentistry
• Bloom Into Balance Psychiatry & Wellness, PLLC
• Bloom Therapy Center of St. Pete, LLC
• Bernard Bloom
• Steven Bloom, DDS
• Trevor Blose

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.