BLOOMING PERSONAL DEVELOPMENT, LLC
NPI 1316637689
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Q: What is Blooming Personal Development, LLC's NPI number?

The NPI number for Blooming Personal Development, LLC is 1316637689. It was assigned to this organization in the NPPES registry on May 10, 2023.

Q: What is Blooming Personal Development, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since May 10, 2023

1730 SHADOWOOD LN STE 370, JACKSONVILLE, FL 32207(904) 536-4318 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, May 10, 2023 (2 updates tracked since 2023).

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About Blooming Personal Development, Llc NPPES

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

BLOOMING PERSONAL DEVELOPMENT, LLC (NPI 1316637689) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since May 2023. The organization lists Jacqulene Trinette Tarver, Owner/ Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1316637689

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBLOOMING PERSONAL DEVELOPMENT, LLC

Location Address1730 SHADOWOOD LN STE 370Jacksonville, FL 32207-1133

Mailing Address1730 Shadowood Ln Ste 370Jacksonville, FL 32207-1133 · (904) 536-4318

Phone(904) 536-4318

Organization SubpartNo

Authorized OfficialJacqulene Trinette TarverOwner/ Program Administrator · (904) 536-4318

Enumeration DateMay 10, 2023

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1316637689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

1730 SHADOWOOD LN STE 370, Jacksonville, FL 32207

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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 Blooming Personal Development, LLC's NPI number?

The NPI number for Blooming Personal Development, LLC is 1316637689. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Blooming Personal Development, LLC located?

Blooming Personal Development, LLC is located at 1730 Shadowood Ln Ste 370, Jacksonville, FL 32207. The listed phone number is (904) 536-4318.

What is Blooming Personal Development, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Blooming Personal Development, LLC was last updated on October 16, 2023. 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.