Organization Active NPI

Neurobloom Academy LLC

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1699672139
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEUROBLOOM ACADEMY LLC
Practice address
8729 E Kiva Ave
Mesa, AZ 85209-5312
Phone
(623) 850-1821
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Keyanna Marie Thomas
Title
Director / Owner
Phone
(623) 850-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8729 E Kiva Ave
Mesa, AZ 85209-5312

Mailing address

8729 E Kiva Ave
Mesa, AZ 85209-5312
Phone (623) 850-1821

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1699672139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 E KIVA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095312",
            "telephone_number": "623-850-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8729 E KIVA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095312",
            "telephone_number": "623-850-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBLOOM ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEYANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "623-850-1821"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.