BLOSSOM HILL CARE CENTER INC (NPI# 1053494799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053494799 |
| Entity Type | Organization |
| Organization Name | BLOSSOM HILL CARE CENTER INC |
| Practice Address |
12496 Princeton Road Huntsburg OH 44046-0369 |
| Mailing Address |
Po Box 369 12496 Princeton Road Huntsburg OH 44046-0369 |
| Practice Telephone | 4406355567 |
| Practice Fax Number | 4406365601 |
| Mailing Telephone | 4406355567 |
| Mailing Fax Number | 4406365601 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD R GRAY (PRESIDENT) |
| Authorized Official Telephone | 4406355567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 6360 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0321664 | 05 |
| Street Address |
12496 PRINCETON ROAD |
| City | HUNTSBURG |
| State | OH |
| Zip Code | 44046-0369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396828935 | Princeton Place Inc | Assisted Living Facility | 12496 Princeton Road, Huntsburg, OH 44046-0246 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720209513 | Lauren J. Baskin | Specialist | 12605 Boggy Creek Dr., Huntsburg, OH 44046 | 2007-05-01 |
| 1659979771 | Donna Johnson | Private Vehicle | 13300 Old State Rd, Huntsburg, OH 44046-8715 | 2020-10-12 |
| 1851605901 | Leah Christine Gongola | Behavioral Analyst | 15445 Chardon Windsor Rd, Huntsburg, OH 44046-8728 | 2010-07-31 |
| 1184275117 | Proactive Behavior Therapy LLC | Behavioral Analyst | 15445 Chardon Windsor Rd, Huntsburg, OH 44046-8728 | 2019-09-20 |
| 1134512155 | Anne Lindley | Counselor | 11685 Princeton Rd, Huntsburg, OH 44046-8739 | 2015-03-16 |
| 1437264843 | Laurie Jean Nieves | Registered Nurse | 11630 Clay St, Huntsburg, OH 44046-8755 | 2006-08-19 |
| 1700493962 | Valerie Jean Degreen | Home Health Aide | 11630 Clay St, Huntsburg, OH 44046-8755 | 2020-09-30 |
| 1275053209 | Gidget Lynn Petronelli | Registered Nurse | 15655 Windmill Point Rd, Huntsburg, OH 44046-8766 | 2017-06-21 |
| 1417281049 | Linda Ryan | Registered Nurse | 15344 Stillwell Rd, Huntsburg, OH 44046-8774 | 2009-09-29 |
| 1326670696 | Diana Lynn Little | Licensed Practical Nurse | 11238 Plank Rd, Huntsburg, OH 44046-9718 | 2020-02-05 |
| Find all providers in zip 44046 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1396384194 | Progressive North Ridgeville LLC | Skilled Nursing Facility | 6200 Lear Nagle Rd, North Ridgeville, OH 44039-3224 | 2019-12-27 |
| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.