BLOOMING PERSONAL DEVELOPMENT, LLC – NPI #1316637689
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

BLOOMING PERSONAL DEVELOPMENT, LLC is a community based residential treatment facility located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1316637689 to BLOOMING PERSONAL DEVELOPMENT, LLC on May 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Oct 16, 2023. 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 PERSONAL DEVELOPMENT, LLC below.

NPI Profile for
BLOOMING PERSONAL DEVELOPMENT, LLC

NPI Number
1316637689
Enumeration Date

(more than 3 years 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 PERSONAL DEVELOPMENT, LLC
Primary location
1730 SHADOWOOD LN STE 370
JACKSONVILLE, FL 32207-1133
Phone: (904) 536-4318 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACQULENE TARVER
OWNER/ PROGRAM ADMINISTRATOR
Phone: (904) 536-4318
Updated
Certification Date
Oct 16, 2023

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or 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.