Meadows Bloom ABA Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEADOWS BLOOM ABA THERAPY LLC

Practice address

513 Glenfield Ave
Glenolden, PA 19036-2402

Phone

(267) 403-9851

NPI assigned

Sep 19, 2026

Last updated

Sep 19, 2026By 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

Promise Chukwuebuka Mbagwu

Title

Owner

Phone

(267) 403-9851

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1841102340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GLENFIELD AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362402",
            "telephone_number": "267-403-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GLENFIELD AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362402",
            "telephone_number": "267-403-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS BLOOM ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "MBAGWU",
        "authorized_official_first_name": "PROMISE",
        "authorized_official_middle_name": "CHUKWUEBUKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-403-9851"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.