Healthcare Provider Details

I. General information

NPI: 1043157944
Provider Name (Legal Business Name): BLOOMIDI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12044 FLOWERING LAVENDER LOOP
HENRICO VA
23233-6944
US

IV. Provider business mailing address

12044 FLOWERING LAVENDER LOOP
HENRICO VA
23233-6944
US

V. Phone/Fax

Practice location:
  • Phone: 571-250-7227
  • Fax: 826-666-5591
Mailing address:
  • Phone: 571-250-7227
  • Fax: 826-666-5591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZEINA AL SAADI
Title or Position: OWNER
Credential:
Phone: 571-250-7227