Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Early Intervention Center LLC

Organization Early Intervention Provider Agency · NPI 1346096864

Bloom Early Intervention Center LLC is an Early Intervention Provider Agency in Burnsville, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

760 Evergreen Dr Apt 102
Burnsville, MN 55337-4646
Phone: (952) 212-8614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1346096864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hawo Farah — Owner · (952) 212-8614
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address760 Evergreen Dr Apt 102, Burnsville, MN 55337-4646

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