Bloom Adult Day Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC000207 Issued in GA

Legal business name

BLOOM ADULT DAY CENTER INC

Practice address

4360 Warm Springs Rd
Columbus, GA 31909-5481

Phone

(706) 221-4324

Fax

(706) 507-0731

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Joann Hassell

Title

Owner/Ceo

Phone

(706) 221-4324

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1710117585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095481",
            "telephone_number": "706-221-4324",
            "fax_number": "706-507-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095481",
            "telephone_number": "706-221-4324",
            "fax_number": "706-507-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7661 Kayne Blvd",
            "address_2": "B-3",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319092545",
            "country_code": "US",
            "telephone_number": "706-507-0148",
            "fax_number": "706-507-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM ADULT DAY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HASSELL",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "706-221-4324"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "ADC000207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512260511A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112349B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Blanks, D.O
• Erin Noelle Blanton, BCBA
• Travis Blanton, MD
• Sarah Bleich
• Blessing Assurance Home Care
• Rebecca Bloom
• Richard R Bloom, MD
• Blown, LLC
• Blue Skies Healthcare LLC
• Candice Blue

• Adult Day Care Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.