BLOOM AT ST. PETE
NPI 1366968612
Assisted Living Facility in St Petersburg, FL

Q: What is Bloom At St. Petersburg, LLC's NPI number?

The NPI number for Bloom At St. Petersburg, LLC is 1366968612. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Bloom At St. Pete.

Q: What is Bloom At St. Petersburg, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 18, 2017

6775 40TH AVE N, ST PETERSBURG, FL 33709(727) 800-6000 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2017, Aug 18, 2017 (2 updates tracked since 2017).

On this page

About Bloom At St. Pete NPPES

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

BLOOM AT ST. PETE (NPI 1366968612) is a healthcare organization registered as an assisted living facility in St Petersburg, Florida and active in the NPI registry since August 2017. The organization lists Scott Kantor, President, as its authorized official.

NPPES Registry Identity

NPI1366968612

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBLOOM AT ST. PETERSBURG, LLC

Location Address6775 40TH AVE NSt Petersburg, FL 33709-4939

Mailing Address260 E Brown St Ste 315Birmingham, MI 48009-6232 · 12486422914

Phone(727) 800-6000

Organization SubpartNo

Authorized OfficialScott KantorPresident · (248) 642-2914

Enumeration DateAugust 18, 2017

Last NPPES UpdateAugust 22, 20172 updates tracked since enumeration

✔ NPI 1366968612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

6775 40TH AVE N, St Petersburg, FL 33709

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Other Names 1

Doing Business AsBloom At St. Pete

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER LORRAINE SPATH OTR/L

Occupational Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1102

DR. KELLI ANNE FAVILLE DPT

Physical Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1002

MRS. PATRICIA GAFFEN M.S., OTR/L

Occupational Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1102

CLINT JESTER

Physical Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1102

1818 SPETE OPCO, LLC

Assisted Living Facility

6775 40TH AVE N
ST PETERSBURG, FL 33709

Pinellas County (727) 800-6000

NATHANIEL TYLER KEPHART DPT

Physical Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1102

PADMA PUPPALA

Physical Therapist

6775 40TH AVE N
ST PETERSBURG, FL 33709

Pinellas County (727) 308-9848

WHITNEY BLANKENSHIP

Occupational Therapist

6775 40TH AVE N
SAINT PETERSBURG, FL 33709

Pinellas County (727) 803-1102

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 At St. Petersburg, LLC's NPI number?

The NPI number for Bloom At St. Petersburg, LLC is 1366968612. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Bloom At St. Pete.

Where is Bloom At St. Petersburg, LLC located?

Bloom At St. Petersburg, LLC is located at 6775 40th Ave N, St Petersburg, FL 33709. The listed phone number is (727) 800-6000.

What is Bloom At St. Petersburg, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Bloom At St. Petersburg, LLC was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.