Bloomfield Senior Living of Glen, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOOMFIELD SENIOR LIVING OF GLEN, LLC

Practice address

2250 Harvest Moon Dr
Indianapolis, IN 46229-4970

Phone

(317) 891-1508

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Scott Kantor

Title

President

Phone

(317) 891-1508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1962702241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HARVEST MOON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462294970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HARVEST MOON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462294970",
            "telephone_number": "317-891-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD SENIOR LIVING OF GLEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-891-1508"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Bloom, DPT
• Lisa F Bloom, NNP
• Ronald Bloom, MD
• Bloomed
• Ainsley Katherine Bloomer, MD
• Bloomfield Senior Living of Park, LLC
• Alec James Bloomfield, PHARMD
• Devin Bloomfield, RBT
• Blooming Lily Family Services
• Blooming Roses LLC

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.