Organization Active NPI

Blooming Jade Therapy LLC

  • Clinic/Center
  • Homestead, FL
National Provider Identifier
1730886367
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLOOMING JADE THERAPY LLC
Practice address
4108 NE 21St CT
Homestead, FL 33033-5358
Phone
(786) 548-9251
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Beatriz Benitez, OTNPI 1265852834
Title
Owner
Phone
(786) 548-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4108 NE 21St CT
Homestead, FL 33033-5358

Mailing address

4108 NE 21St CT
Homestead, FL 33033-5358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1730886367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 NE 21ST CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 NE 21ST CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335358",
            "telephone_number": "786-548-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING JADE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-548-9251",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.