Organization Active NPI

Royal Bloom LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Saint Paul, MN
National Provider Identifier
1477429231
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ROYAL BLOOM LLC
Practice address
2658 Scotland CT Apt 312
Saint Paul, MN 55112-4716
Phone
(763) 439-4361
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Honorine Nkwawir
Title
Administrator
Phone
(763) 439-4361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2658 Scotland CT Apt 312
Saint Paul, MN 55112-4716

Mailing address

2658 Scotland CT Apt 312
Saint Paul, MN 55112-4716
Phone (763) 439-4361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1477429231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 SCOTLAND CT APT 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124716",
            "telephone_number": "763-439-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 SCOTLAND CT APT 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124716",
            "telephone_number": "763-439-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "NKWAWIR",
        "authorized_official_first_name": "HONORINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-439-4361"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.