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Blooming Vidas, Inc

NPI 1487500112ActiveOrganization· Clinic/Center, Developmental Disabilities· Las Cruces, NM

Clinic/Center, Developmental Disabilities in Las Cruces, New Mexico, registered in NPPES in March 2026. The authorized official on file is Kiley Gifford, Ceo.

Overview

NPI1487500112
StatusActive
Entity typeOrganization
NPI issuedMar 5, 2026
Last updated in NPPESMar 5, 2026
Certified by providerMar 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Developmental Disabilities Primary261QD1600X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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