NPI age
1 years
Enumerated 2024-05-29
● Active Type 2 · Organization
Bloom Children'S Developmental Services, Llc
Bloom Children'S Developmental Services, Llc is 1 of 40 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Makar
Owner
Last NPPES update
2024-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 40 active clinic/center providers in Idaho.
NPI age
1 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-05Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
10314 N Blacktail Ave
Boise, ID 837149696
Mailing address
10314 N Blacktail Ave
Boise, ID 837149696
Authorized official
Kayla Dawn Makar
Owner
📞 2083120891
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bloom Children's Developmental Services, LLC
-
Bloom Children's Developmental Services, LLC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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