Blomborn Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

15989 Issued in UT

Legal business name

BLOMBORN INC.

Practice address

3155 S Hidden Valley Dr
#145
St George, UT 84790-6671

Phone

(435) 773-2488

Fax

(435) 773-9925

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Blomquist, MSW

Title

Owner

Phone

(435) 773-2488

Specialties & licenses 1

Addresses

Other names 1

• Xcel Youth Services Doing business as

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1992017040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 S HIDDEN VALLEY DR",
            "address_2": "#145",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906671",
            "telephone_number": "435-773-2488",
            "fax_number": "435-773-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 S HIDDEN VALLEY DR",
            "address_2": "#145",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906671",
            "telephone_number": "435-773-2488",
            "fax_number": "435-773-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOMBORN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "BLOMQUIST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-773-2488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "15989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xcel Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Bleak, LMFT
• Kason Bleak
• McKell L Bledsoe, CMHC INTERN
• Chanise Blocker
• David William Blodgett, MD
• Allen Dean Bloodworth
• Bloom Therapy & Counseling, LLC
• Bloomington Dental PC
• Amy Blosch
• Blue Chip Counseling, LLC

• Foster Care Agency in St George, UT
• Providers in St George, UT by specialty
• Foster Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.