Bloom Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM BEHAVIORAL HEALTH, LLC

Practice address

20700 Southgate Park Blvd
Maple Heights, OH 44137-2913

Phone

(216) 681-9052

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Veranda Rodgers, MBA

Title

President & Ceo

Phone

(216) 681-9052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephanie Williams

  • Social Worker
  • Maple Heights, OH
  • NPI 1912723511
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1740009687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 SOUTHGATE PARK BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372913",
            "telephone_number": "216-681-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 SOUTHGATE PARK BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372913",
            "telephone_number": "216-681-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "VERANDA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "216-681-9052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunja Biggins
• Chania Blair
• Sherra Blair
• Bland Healthcare Services
• Samuel Bland
• Bloom Counseling Collective LLC
• Reynaldo Boff-Clinger
• Marquel Monique Bolden
• Anita Louise Boley
• Lavelle Borum

• All providers in Maple Heights, OH
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.