BLOOMING HEALTH SERVICES
NPI 1447009923
Nurse Practitioner - Primary Care in Glendale, AZ

Active since May 16, 2024
8726 N 53RD AVE, GLENDALE, AZ 85302(602) 810-7317 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blooming Health Services NPPES

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

BLOOMING HEALTH SERVICES (NPI 1447009923) is a healthcare organization registered as a primary care in Glendale, Arizona and active in the NPI registry since May 2024. The organization lists Claudia G Damanhuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1447009923
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBLOOMING HEALTH SERVICES
Location Address8726 N 53RD AVEGlendale, AZ 85302-4809
Mailing Address8726 N 53rd AveGlendale, AZ 85302-4809 · (602) 810-7317
Organization SubpartNo
Authorized OfficialClaudia G DamanhuriOwner · (602) 810-7317
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1447009923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
8726 N 53RD AVE, Glendale, AZ 85302

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blooming Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blooming Health Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1891573762
8726 N 53RD AVE
Glendale, AZ 85302
(602) 810-7317
✔ PECOS✔ Accepts MedicareSame address

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 Blooming Health Services's NPI number?

The NPI number for Blooming Health Services is 1447009923. It was assigned to this organization in the NPPES registry on May 16, 2024.

Where is Blooming Health Services located?

Blooming Health Services is located at 8726 N 53rd Ave, Glendale, AZ 85302. The listed phone number is (602) 810-7317.

What is Blooming Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Blooming Health Services enrolled in Medicare?

Yes. Blooming Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blooming Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blooming Health Services. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blooming Health Services was last updated on May 16, 2024. 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.