BLOOM CHILDREN'S DEVELOPMENTAL SERVICES LLC NPI 1073353967

NPI Information

  • NPI: 1073353967
  • Provider Name: BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Doing Business As: BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
  • Address: 10314 N BLACKTAIL AVE
    BOISE, ID
    ZIP 83714
  • Phone: (208) 312-0891

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NPI Details

BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC is a developmental disabilities clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC NPI is 1073353967. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloom Children's Developmental Services, Llc.

The provider's business location address is:

10314 N BLACKTAIL AVE
BOISE, ID
ZIP 83714-696
Phone: (208) 312-0891

The provider's authorized official is Kayla Dawn Makar .
The authorized official title is Owner and has the following contact phone number (208) 312-0891.

The enumeration date for this NPI number is 5/29/2024 and was last updated on 6/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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