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BLOOM FAMILY HEALTH & WELLNESS
NPI 1376303222
Clinic/Center - Primary Care in Eldersburg, MD

Active since March 19, 2024CLIA 21D2310367 · Waiver
770 OLD LIBERTY RD STE 3, ELDERSBURG, MD 21784(410) 970-8480(855) 576-5073 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, May 10, 2024 (2 updates tracked since 2024).

About Bloom Family Health & Wellness NPPES

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

BLOOM FAMILY HEALTH & WELLNESS (NPI 1376303222), doing business as Bloom Family Health & Wellness, Llc, is a healthcare organization registered as a primary care in Eldersburg, Maryland and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Emily Lee, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376303222
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLOOM FAMILY HEALTH & WELLNESS
Location Address770 OLD LIBERTY RD STE 3Eldersburg, MD 21784-8500
Mailing Address770 Old Liberty Rd Ste 3Eldersburg, MD 21784-8500 · (410) 970-8480 · Fax (855) 576-5073
Phone(410) 970-8480
Fax(855) 576-5073
Organization SubpartNo
Authorized OfficialEmily LeeFamily Nurse Practitioner · (410) 970-8480
Enumeration DateMarch 19, 2024
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1376303222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
770 OLD LIBERTY RD STE 3, Eldersburg, MD 21784
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Other Names 1

Former Legal Business NameBloom Family Health & Wellness, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2310367

Bloom Family Health & Wellness · Eldersburg, MD
Active · expires Sep 2, 2026
CLIA Number21D2310367
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorEmily Lee
Laboratory Phone(410) 970-8480
Laboratory LocationBloom Family Health & Wellness770 Old Liberty Rd Suite 3, Eldersburg, MD 21784
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CLAUDIA MARIE DORSEY CRNP
Nurse Practitioner (Gerontology)
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784
Carroll County (410) 970-8480
ASHLEY CARNEGIE CRNP
Nurse Practitioner
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784
Carroll County (410) 970-8480
MRS. EMILY NICOLE LEE CRNP
Nurse Practitioner (Family)
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784
Carroll County (410) 970-8480

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 Family Health & Wellness's NPI number?

The NPI number for Bloom Family Health & Wellness is 1376303222. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider was formerly known as Bloom Family Health & Wellness, LLC.

Where is Bloom Family Health & Wellness located?

Bloom Family Health & Wellness is located at 770 Old Liberty Rd Ste 3, Eldersburg, MD 21784. The listed phone number is (410) 970-8480.

What is Bloom Family Health & Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bloom Family Health & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2310367) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloom Family Health & Wellness was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.