BLOOM AT ROCKY RIVER, LLC
NPI 1942158068
Assisted Living Facility in Rocky River, OH

Active since March 17, 2026CLIA 36D0947052 · Waiver
21600 DETROIT RD, ROCKY RIVER, OH 44116(440) 737-2945 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloom At Rocky River, Llc NPPES

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

BLOOM AT ROCKY RIVER, LLC (NPI 1942158068) is a healthcare organization registered as an assisted living facility in Rocky River, Ohio and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Scott M Kantor, President, as its authorized official.

NPPES Registry Identity

NPI1942158068
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLOOM AT ROCKY RIVER, LLC
Location Address21600 DETROIT RDRocky River, OH 44116-2218
Mailing Address280 N Old Woodward AveBirmingham, MI 48009-5300 · (248) 642-2914
Organization SubpartNo
Authorized OfficialScott M KantorPresident · (248) 642-2914
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
NPI 1942158068 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.
21600 DETROIT RD, Rocky River, OH 44116

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 36D0947052

Bloom At Rocky River · Rocky River, OH
Active · expires Jun 8, 2028
CLIA Number36D0947052
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorChrista Decker
Laboratory Phone(440) 356-9797
Laboratory LocationBloom At Rocky River21600 Rocky River Rd, Rocky River, OH 44116
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
21600 DETROIT RD
ROCKY RIVER, OH 44116
Occupational Therapy Assistant
21600 DETROIT RD
ROCKY RIVER, OH 44116

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 Rocky River, LLC's NPI number?

The NPI number for Bloom At Rocky River, LLC is 1942158068. It was assigned to this organization in the NPPES registry on March 17, 2026.

Where is Bloom At Rocky River, LLC located?

Bloom At Rocky River, LLC is located at 21600 Detroit Rd, Rocky River, OH 44116. The listed phone number is (440) 737-2945.

What is Bloom At Rocky River, LLC's specialty?

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

Does Bloom At Rocky River, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0947052) is associated with this NPI, valid through June 8, 2028. 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 At Rocky River, LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.