Bloom Care Group LLC · Community/Behavioral Health Agency

11300 Iron Bridge Rd Ste B, Chester, VA 23831-1428

Overview

Bloom Care Group LLC is a Community/Behavioral Health Agency (organization) practicing in Chester, Virginia. The National Provider Identifier (NPI) is #1649080672, which was assigned on January 11, 2025, and the registration record was last updated on January 11, 2025. The practitioner's main practice location is at 11300 Iron Bridge Rd Ste B, Chester, VA 23831-1428; the contact telephone number is 8047077284, and the fax number is 8047102024. The primary taxonomy of Bloom Care Group LLC is Community/Behavioral Health Agency (251S00000X). The authorized official for Bloom Care Group LLC is Miss Tenyah Johnson (Executive Director).

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Provider Information

NPI 1649080672
Entity Type Organization
Organization Name BLOOM CARE GROUP LLC
Provider Name BLOOM CARE GROUP LLC
Practice Address 11300 Iron Bridge Rd Ste B
Chester
VA 23831-1428
Practice Telephone 8047077284
Practice Fax Number 8047102024
Mailing Address 11300 Iron Bridge Rd Ste B
Chester
VA 23831-1428
Mailing Telephone 8047077284
Mailing Fax Number 8047102024
Certification Date 2025-01-11
Enumeration Date 2025-01-11
Last Update Date 2025-01-11
Is Organization Subpart N

Authorized Official Information

Official Name MISS TENYAH JOHNSON
Official Title EXECUTIVE DIRECTOR
Telephone 8047077284

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y251S00000XCommunity/Behavioral Health

Other Provider Names

Other Organization NameType
Bloom Care GroupDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 251S00000X
Taxonomy Community/Behavioral Health Agency
Classification Community/Behavioral Health
Grouping Agencies
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition]

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Location Information

Street Address 11300 IRON BRIDGE RD STE B
City CHESTER
State VA
Zip Code 23831-1428
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Abbey Lyn Jaramillo 11601 Iron Bridge Rd Ste 117, Chester, VA 23831-1467Family Medicine Physician2022-03-25
Jessica Brown 10438 Iron Bridge Rd, Chester, VA 23831-1427Physical Therapist2022-08-04
Dodsons Residential Services LLC 11907 Ken Dr, Chester, VA 23831-1630Developmentally Disabled Services Day Training Agency2025-08-05
Dameke Thompson 10611 Greenyard Way Ste A, Chester, VA 23831-1484Student in an Organized Health Care Education/Training Program2023-05-23
Habibah Williams 11601 Iron Bridge Rd, Chester, VA 23831-1466Acute Care Nurse Practitioner2021-02-08
Monica Alade 12001 Iron Bridge Rd, Chester, VA 23831-1460Nurse Practitioner2023-08-28
Shauna Denee James-Hooker 11923 Centre St Ste B3, Chester, VA 23831-1702Addiction (Substance Use Disorder) Counselor2017-11-15
Kroger Limited Partnership I 10800 Iron Bridge Rd, Chester, VA 23831-1628Durable Medical Equipment & Medical Supplies2015-06-25
Gennextic LLC 4108 W Hundred Rd, Chester, VA 23831-1731Corporate Health Clinic/Center2025-11-18
Patricia T. Hubbard-Parham 4931 Empire Pkwy, Chester, VA 23831-1620Physical Therapist2007-05-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.