BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
NPI 1073353967
Clinic/Center - Developmental Disabilities in Boise, ID

Active since May 29, 2024
10314 N BLACKTAIL AVE, BOISE, ID 83714(208) 312-0891 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloom Children's Developmental Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC (NPI 1073353967) is a healthcare organization registered as a developmental disabilities in Boise, Idaho and active in the NPI registry since May 2024. The organization lists Kayla Dawn Makar, Owner, as its authorized official.

NPPES Registry Identity

NPI1073353967
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
Location Address10314 N BLACKTAIL AVEBoise, ID 83714-9696
Mailing Address10314 N Blacktail AveBoise, ID 83714-9696 · (208) 312-0891
Organization SubpartNo
Authorized OfficialKayla Dawn MakarOwner · (208) 312-0891
Enumeration DateMay 29, 2024
Last NPPES UpdateJune 29, 2024
NPPES CertifiedJune 29, 2024
NPI 1073353967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
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.).
10314 N BLACKTAIL AVE, Boise, ID 83714

Other Names 1

Doing Business AsBloom Children's Developmental Services, Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Children's Developmental Services, LLC's NPI number?

The NPI number for Bloom Children's Developmental Services, LLC is 1073353967. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Bloom Children's Developmental Services, LLC located?

Bloom Children's Developmental Services, LLC is located at 10314 N Blacktail Ave, Boise, ID 83714. The listed phone number is (208) 312-0891.

What is Bloom Children's Developmental Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Bloom Children's Developmental Services, LLC was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.