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

NPI Status: Active since March 19, 2024

Contact Information

770 OLD LIBERTY RD STE 3
ELDERSBURG, MD
ZIP 21784
Phone: (410) 970-8480
Fax: (855) 576-5073

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 21D2310367
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-02-2026

About BLOOM FAMILY HEALTH & WELLNESS

This page provides the complete NPI Profile along with additional information for Bloom Family Health & Wellness, a primary care provider established in Eldersburg, Maryland operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1376303222 assigned on March 2024. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mrs. Emily Lee Crnp (Family Nurse Practitioner)

NPI
1376303222
Provider Legal Name
BLOOM FAMILY HEALTH & WELLNESS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
770 OLD LIBERTY RD STE 3 ELDERSBURG, MD 21784
Location Phone
(410) 970-8480
Location Fax
(855) 576-5073
Mailing Address
770 OLD LIBERTY RD STE 3 ELDERSBURG, MD 21784
Mailing Phone
(410) 970-8480
Mailing Fax
(855) 576-5073
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2024
Last Update Date
02-12-2025
Code Navigator

A primary care provider (PCP) like Bloom Family Health & Wellness sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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

MRS. EMILY LEE CRNP

Authorized Official Title
FAMILY NURSE PRACTITIONER
Authorized Official Phone
(410) 970-8480

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2310367
Facility Type
Practitioner Other
Certificate Effective Date
September 03, 2024
Certificate Expiration Date
September 02, 2026
Laboratory Director
EMILY LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bloom Family Health & Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376303222, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 6 + 0 + 6 + 2 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1376303222.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784
Nurse Practitioner
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784
Nurse Practitioner (Gerontology)
770 OLD LIBERTY RD STE 3
ELDERSBURG, MD 21784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376303222, enumerated as an "organization" on March 19, 2024.

The provider is located at 770 OLD LIBERTY RD STE 3 ELDERSBURG, MD 21784 and the phone number is (410) 970-8480.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.