Bloom Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOOM HEALTH

Practice address

1714 SW Cycle St
Port Saint Lucie, FL 34953-1128

Phone

(772) 249-6802

NPI assigned

Aug 7, 2021

Last updated

Aug 7, 2021By 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

Carl Jerry Marcel

Title

Registered Nurse

Phone

(772) 249-6802

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Benjamin King, RN

  • General Practice Registered Nurse
  • Port Saint Lucie, FL
  • NPI 1518629765
  NPD
• Shemaya Melissa Marcel, RN

  • General Practice Registered Nurse
  • Seattle, WA
  • NPI 1447921820
  NPD

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1659045177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SW CYCLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531128",
            "telephone_number": "772-249-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW CYCLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531128",
            "telephone_number": "772-249-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MARCEL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "772-249-6802"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bloomhealth.us",
            "affiliation": "N",
            "endpointDescription": "Bloom Health",
            "address_1": "1714 SW Cycle St",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349531128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy Blakeslee, MA, WSC
• Stephen Gary Blank, DDS
• Peter Blatte
• Bless Her Heart Home Care LLC
• Bloom Firm, LLC
• Blooming Hope Behavioral LLC
• Blue Harmony Therapy Inc
• Michael A Blum, D.O.
• Body Language by Theresa LLC
• Sandra H Bolanos, MD, PHD

• Home Health Agency in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.