Novabloom LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NOVABLOOM LLC

Practice address

807 Cameron CT
Coppell, TX 75019-4751

Phone

(972) 983-5585

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Reena Patel, O.D.NPI 1487175667

Title

Manager

Phone

(972) 983-5585

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reena Patel

  • Optometrist
  • Irving, TX
  • NPI 1487175667
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1558182733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 CAMERON CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194751",
            "telephone_number": "972-983-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CAMERON CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194751",
            "telephone_number": "972-983-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVABLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-983-5585",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirka Norman
• North Texas Tongue Tie Center PLLC
• Northeast Anesthesia Associates, PLLC
• Northwest Anesthesia Associates, PLLC
• Novabloom Centers LLC
• Martin Nunes, DMD
• David Nunez, OT
• Charles J O'Hearn, M.D.
• Elizabeth E Ocean, LPC
• Folashade Oduleye

• Case Management Agency in Coppell, TX
• Providers in Coppell, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.