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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: November 01, 2026.

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

About Bloom Haven Behavioral Health Llc NPPES

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

BLOOM HAVEN BEHAVIORAL HEALTH LLC (NPI 1124800776) is a healthcare organization registered as a community/behavioral health in Rio Rancho, New Mexico and active in the NPI registry since October 2023. The organization lists Lisa Lujan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124800776
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLOOM HAVEN BEHAVIORAL HEALTH LLC
Location Address741 TIWA LN NERio Rancho, NM 87124-1510
Mailing Address1380 Rio Rancho Blvd Se # 431Rio Rancho, NM 87124-1006 · (505) 900-4029 · Fax (505) 317-7133
Phone(505) 900-4029
Fax(505) 317-7133
Organization SubpartNo
Authorized OfficialLisa LujanCeo · (505) 916-4729
Enumeration DateOctober 18, 2023
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1124800776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
741 TIWA LN NE, Rio Rancho, NM 87124
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Haven Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bloom Haven Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Lisa Lujan
Clinical Social Worker
NPI 1831756683
741 TIWA LN NE
Rio Rancho, NM 87124
(505) 916-4729
✔ PECOS✔ Accepts MedicareSame address
Michelle Chavez
Clinical Social Worker
NPI 1255717112
730 GARNET DR NE
Rio Rancho, NM 87124
(505) 417-7452
✔ PECOS2.4 mi
Kathryn Sandoval
Mental Health Counselor
NPI 1336550466
1401 SOAVE DR SE
Rio Rancho, NM 87124
(505) 490-1998
✔ PECOS2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Haven Behavioral Health LLC's NPI number?

The NPI number for Bloom Haven Behavioral Health LLC is 1124800776. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Bloom Haven Behavioral Health LLC located?

Bloom Haven Behavioral Health LLC is located at 741 Tiwa Ln NE, Rio Rancho, NM 87124. The listed phone number is (505) 900-4029.

What is Bloom Haven Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Bloom Haven Behavioral Health LLC enrolled in Medicare?

Yes. Bloom Haven Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Haven Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bloom Haven Behavioral Health LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Haven Behavioral Health LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.