Bloom Incorporated

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BLOOM INCORPORATED

Practice address

7004 N Hanley Rd
Hazelwood, MO 63042-2904

Phone

(314) 274-2415

NPI assigned

Oct 17, 2025

Last updated

Oct 17, 2025By 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

Monica Nicole Moore

Title

Ceo

Phone

(314) 496-6503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1417824202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 N HANLEY RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422904",
            "telephone_number": "314-274-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 N HANLEY RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422904",
            "telephone_number": "314-274-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-496-6503"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Kathryn Bozada, M.S., CF-SLP
• Aaron Braun, PT, DPT

• Adult Day Care Clinic/Center in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.