BLOOM AT KOKOMO, LLC
NPI 1366904872
Assisted Living Facility in Kokomo, IN
NPI Status: Active since April 03, 2019
- Organization
- Assisted Living Facility
- CLIA Number: 15D1062891
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-28-2026
About BLOOM AT KOKOMO, LLC
This page provides the complete NPI Profile along with additional information for Bloom At Kokomo, Llc, a provider established in Kokomo, Indiana operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1366904872 assigned on April 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Scott Kantor (Owner)
- NPI
- 1366904872
- Provider Name
- BLOOM AT KOKOMO, LLC
- Entity Type
- Organization
- Location Address
- 2800 S DIXON RD KOKOMO, IN 46902
- Location Phone
- (765) 455-2828
- Mailing Address
- 260 E BROWN ST STE 315 BIRMINGHAM, MI 48009
- Mailing Phone
- (248) 642-2914
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-03-2019
- Last Update Date
- 04-03-2019
- Code Navigator
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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
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
- 15D1062891
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 29, 2024
- Certificate Expiration Date
- December 28, 2026
- Laboratory Director
- GARY BRENT WAYMIRE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bloom At Kokomo, Llc 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.
Reviews for BLOOM AT KOKOMO, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 9 | 0 | 4 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 18 | 0 | 8 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 8 + 0 + 8 + 8 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1366904872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386849925 | LAURA DALPOAS PTA Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1194920736 | LEIGH LECKRONE OTR Individual | Occupational Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1922280932 | JANE A TOOR M.A., C.C.C.-SLP Individual | Speech-Language Pathologist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1891950309 | ERIC DANIEL BREISCH Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 455-1111 |
| 1578715785 | JENNIFER L PETERS PTA Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1033362249 | SHANNON BUGHER Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1881830214 | PAIGE A MCKINLEY PTA Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 455-2828 |
| 1558696633 | AMY MARIE MATTHEWS Individual | Occupational Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1538424502 | CHERYL ANN JONES P.T. Individual | Physical Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1659781359 | MRS. KINETRIA JOVON WHITE COTA/L Individual | Occupational Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1225410566 | MRS. BRITNEY WEST COTA Individual | Occupational Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (866) 738-3128 |
| 1518069913 | LEGACY HEALTHCARE SERVICES, INC. Organization | Physical Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1992333421 | CALVIN RAY BERGHOFF PTA Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (866) 738-6128 |
| 1245434901 | ALICIA JAMES OTR Individual | Occupational Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 864-0237 |
| 1942962964 | MOLLY RAINETTE MURPHY PTA Individual | Physical Therapy Assistant | 2800 S DIXON RD KOKOMO, IN 46902 (765) 631-1755 |
| 1992164875 | MISS CHRISTINE BAILEY OTR Individual | Occupational Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 455-2828 |
| 1215104237 | NIKKI A PACKER MS,OT/L Individual | Occupational Therapist | 2800 S DIXON RD KOKOMO, IN 46902 (765) 455-2828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366904872, enumerated in the NPI registry as an "organization" on April 03, 2019
The provider is located at 2800 S Dixon Rd Kokomo, In 46902 and the phone number is (765) 455-2828
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 15D1062891 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on April 03, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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