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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BLOOM ASSISTED LIVING LLC
NPI 1942121520
Nursing Home Administrator in Bloomington, MN

Active since July 21, 2026
9016 MORGAN AVE S, BLOOMINGTON, MN 55431(612) 432-0203(612) 587-1080 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloom Assisted Living Llc NPPES

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

BLOOM ASSISTED LIVING LLC (NPI 1942121520) is a healthcare organization registered as a nursing home administrator in Bloomington, Minnesota and active in the NPI registry since July 2026. The organization lists Osman Shire, Owner, as its authorized official.

NPPES Registry Identity

NPI1942121520
Entity TypeOrganization
Primary Taxonomy376G00000X
Legal Business NameBLOOM ASSISTED LIVING LLC
Location Address9016 MORGAN AVE SBloomington, MN 55431-2218
Mailing Address9016 Morgan Ave SBloomington, MN 55431-2218 · Fax (612) 587-1080
Phone(612) 432-0203
Fax(612) 587-1080
Organization SubpartNo
Authorized OfficialOsman ShireOwner · (612) 432-0203
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1942121520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

9016 MORGAN AVE S, Bloomington, MN 55431
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Assisted Living LLC's NPI number?

The NPI number for Bloom Assisted Living LLC is 1942121520. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Bloom Assisted Living LLC located?

Bloom Assisted Living LLC is located at 9016 Morgan Ave S, Bloomington, MN 55431. The listed phone number is (612) 432-0203.

What is Bloom Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Bloom Assisted Living LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.