Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BLOOM HAVEN BEHAVIORAL HEALTH LLC
NPI 1124800776
Community/Behavioral Health in Rio Rancho, NM

Active since October 18, 2023
741 TIWA LN NE, RIO RANCHO, NM 87124(505) 900-4029(505) 317-7133 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2024, Oct 18, 2023 (2 updates tracked since 2023).

  • Organization
  • Community/Behavioral Health

About BLOOM HAVEN BEHAVIORAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Bloom Haven Behavioral Health Llc, a provider established in Rio Rancho, New Mexico operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1124800776 assigned on October 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Lisa Lujan (Ceo)

NPI
1124800776 Verify this NPI
Provider Name
BLOOM HAVEN BEHAVIORAL HEALTH LLC
Entity Type
Organization
Location Address
741 TIWA LN NE RIO RANCHO, NM 87124
Location Phone
(505) 900-4029
Location Fax
(505) 317-7133
Mailing Address
1380 RIO RANCHO BLVD SE # 431 RIO RANCHO, NM 87124
Mailing Phone
(505) 900-4029
Mailing Fax
(505) 317-7133
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2023
Last Update Date
06-29-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA LUJAN

Authorized Official Title
CEO
Authorized Official Phone
(505) 916-4729

Reviews for BLOOM HAVEN BEHAVIORAL HEALTH LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
741 TIWA LN NE
RIO RANCHO, NM 87124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124800776, enumerated as an "organization" on October 18, 2023.

The provider is located at 741 TIWA LN NE RIO RANCHO, NM 87124 and the phone number is (505) 900-4029.

Community/Behavioral Health with taxonomy code 251S00000X.