Life Blooms Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIFE BLOOMS HOME, LLC

Practice address

3501 NW 212 Street
Miami Gardens, FL 33056

Phone

(305) 785-7259

Fax

(305) 703-6169

NPI assigned

Mar 31, 2026

Organization subpart

No

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

Authorized official

Name

Iaisa Bloom, DNP, APRN, PMHNP-BC,NPI 1326635970

Title

Owner/Operator

Phone

(305) 785-7259

Specialties & licenses 1

Addresses

Practitioners 1

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

• Iaisa Shikema Bloom, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1326635970
  NPD Authorized official

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1851231567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 NW 212 STREET",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-785-7259",
            "fax_number": "305-703-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW 212 STREET",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33056",
            "telephone_number": "305-785-7259",
            "fax_number": "305-703-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BLOOMS HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "IAISA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "305-785-7259",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC,"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.