BLOOMING VIDAS, INC – NPI #1487500112
Clinic/Center

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.).

Health Care Provider Taxonomy Code for Clinic/Center

BLOOMING VIDAS, INC is an AHC clinic located in LAS CRUCES, NM. NPPES has assigned the NPI number 1487500112 to BLOOMING VIDAS, INC on March 05, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOOMING VIDAS, INC below.

NPI Profile for
BLOOMING VIDAS, INC

NPI Number
1487500112
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOOMING VIDAS, INC
Primary location
3021 E SPRINGS RD
LAS CRUCES, NM 88011-5265
Phone: (575) 520-2536 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KILEY GIFFORD
CEO
Phone: (575) 520-2536
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.