Provider Demographics
NPI:1689348161
Name:BLOOM COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BLOOM COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGGENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:515-277-1050
Mailing Address - Street 1:2670 106TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3746
Mailing Address - Country:US
Mailing Address - Phone:515-277-1050
Mailing Address - Fax:515-277-1963
Practice Address - Street 1:2670 106TH ST STE 220
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3746
Practice Address - Country:US
Practice Address - Phone:515-277-1050
Practice Address - Fax:515-277-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health