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

Blooming Personal Development, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1316637689

Blooming Personal Development, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1730 Shadowood Ln Ste 370
Jacksonville, FL 32207-1133
Phone: (904) 536-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1316637689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqulene Tarver — Owner/ Program Administrator · (904) 536-4318
NPI enumeratedMay 10, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address1730 Shadowood Ln Ste 370, Jacksonville, FL 32207-1133

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