Healthcare Provider Details

I. General information

NPI: 1275445892
Provider Name (Legal Business Name): BLOOMING BAYBEES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8685 W SAHARA AVE STE 150
LAS VEGAS NV
89117-5881
US

IV. Provider business mailing address

8985 HORIZON HYATT AVE
LAS VEGAS NV
89178-0111
US

V. Phone/Fax

Practice location:
  • Phone: 702-725-0511
  • Fax:
Mailing address:
  • Phone: 702-725-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: TORI BROOK HINKLE
Title or Position: MIDWIFE
Credential: CPM
Phone: 702-725-0511