Bloom Assisted Living LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

BLOOM ASSISTED LIVING LLC

Practice address

9016 Morgan Ave S
Bloomington, MN 55431-2218

Phone

(612) 432-0203

Fax

(612) 587-1080

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 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

Osman Shire

Title

Owner

Phone

(612) 432-0203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1942121520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 MORGAN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312218",
            "fax_number": "612-587-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 MORGAN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312218",
            "telephone_number": "612-432-0203",
            "fax_number": "612-587-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-432-0203"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Bryan Bliss, M.A. CCC-SLP
• James Edward Blissenbach, MA, LPCC
• Jeffrey A Block, MD
• Charles Roderick Blons, PH.D., L.P.
• Bloom & Smile Dental Care
• Bloom Collective Therapy Services LLC
• Amber Holly Bloom, MA, LMFT
• Cynthia Bloom
• Blooming Minds LLC
• Blooming Ridge LLC

• Nursing Home Administrator in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Nursing Home Administrator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.