Organization Active NPI

Blooming Vidas, Inc

  • Developmental Disabilities Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1487500112
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BLOOMING VIDAS, INC
Practice address
3021 E Springs Rd
Las Cruces, NM 88011-5265
Phone
(575) 520-2536
NPI assigned
Mar 5, 2026
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Kiley Gifford
Title
Ceo
Phone
(575) 520-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

3021 E Springs Rd
Las Cruces, NM 88011-5265

Mailing address

3021 E Springs Rd
Las Cruces, NM 88011-5265
Phone (575) 520-2536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1487500112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 E SPRINGS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115265",
            "telephone_number": "575-520-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 E SPRINGS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115265",
            "telephone_number": "575-520-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING VIDAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-520-2536"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.