OrganizationActive
Bloom Skin Nutrition, LLC
NPI 1962924217 · Point of Service · Grand Haven, MI
Bloom Skin Nutrition, LLC is a Point of Service organization in Grand Haven, MI (NPI 1962924217).
Provider details
- NPI number
- 1962924217
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Heidi Paulsen, Practitioner / Owner(636) 345-2375
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14593 Windway Dr
Grand Haven, MI 49417-7677
Phone: (636) 345-2375
Approximate (ZIP-level) locationGet directions
Mailing address
14593 Windway Dr
Grand Haven, MI 49417-7677
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Bloom Skin Nutrition, LLC's NPI number?
- Bloom Skin Nutrition, LLC's National Provider Identifier (NPI) is 1962924217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bloom Skin Nutrition, LLC?
- Bloom Skin Nutrition, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Bloom Skin Nutrition, LLC located?
- Bloom Skin Nutrition, LLC's practice location on file with NPPES is 14593 Windway Dr, Grand Haven, MI 49417-7677.
- What is Bloom Skin Nutrition, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bloom Skin Nutrition, LLC is (636) 345-2375.
- Who is the authorized official for Bloom Skin Nutrition, LLC?
- The authorized official listed on Bloom Skin Nutrition, LLC's NPPES record is Heidi Paulsen, Practitioner / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bloom Skin Nutrition, LLC's NPI active?
- Yes — Bloom Skin Nutrition, LLC's NPI (1962924217) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.