BLOSSOM CARE SERVICES (NPI# 1699905869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699905869 |
| Entity Type | Organization |
| Organization Name | BLOSSOM CARE SERVICES |
| Practice Address |
1710 Misty Fawn Ln Fresno TX 77545-9503 |
| Mailing Address |
20702 Shifting Sand Ln Richmond TX 77407-2680 |
| Practice Telephone | 8324439734 |
| Mailing Telephone | 8324439734 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | ADAORA EMMANUEL (ADMINISTRATOR) |
| Authorized Official Telephone | 8324439734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1710 MISTY FAWN LN |
| City | FRESNO |
| State | TX |
| Zip Code | 77545-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417804 | Vicad Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1710 Misty Fawn Ln, Fresno, TX 77545-9503 | 2005-09-19 |
| 1639341209 | Adorable Health Care Services | Hospice Care, Community Based | 1710 Misty Fawn Ln, Fresno, TX 77545-9503 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780100610 | Schristiandevelopment | Day Training, Developmentally Disabled Services | 3819 Teal Maple Ct., Fresno, TX 77545 | 2017-08-22 |
| 1548786924 | Katreece M Bell | Nurse Practitioner | 1834 Bravos Manor Lane, Fresno, TX 77545 | 2017-08-17 |
| 1275912735 | Evosource | Non-emergency Medical Transport (VAN) | 1307 Peacham Ct, Fresno, TX 77545 | 2015-05-29 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1811394745 | Elaine Khuong | Pharmacist | 12225 Sr 6, Fresno, TX 77545 | 2014-11-20 |
| 1225442551 | Michael Jerome Tubbs | Specialist/Technologist, Other | 2126 Beacon Light Ln, Fresno, TX 77545 | 2014-06-14 |
| 1801219431 | Angelica Healthcare Services | Home Health | 3003 Valian Elm Street, Fresno, TX 77545 | 2014-02-03 |
| 1801048376 | Kroger Texas L P | Pharmacy | 10250 Fresno State Hwy 6, Fresno, TX 77545 | 2008-10-16 |
| 1215188818 | Kroger Texas Lp | Pharmacy | 10250 State Hwy 6, Fresno, CA 77545 | 2008-10-02 |
| 1528243201 | M & H Home Care Inc. | Home Health | 1335 Hunter Green Lane, Fresno, TX 77545 | 2007-12-31 |
| Find all providers in zip 77545 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508720 | Ability Health Systems, LLC | Clinic/Center | 4526 Green Fawn Ln, Fresno, TX 77545-9584 | 2019-09-30 |
| 1376792309 | Concentra Health Services, Inc. | Clinic/Center | 2610 Tuolumne Street, Fresno, CA 93721 | 2008-09-15 |
| 1285883215 | Concentra Health Services, Inc. | Clinic/Center | 7265 North First Street, Building A, Fresno, CA 93720 | 2008-09-15 |
| 1548419575 | Concentra Health Services, Inc. | Clinic/Center | 2555 South East Avenue, Fresno, CA 93706 | 2008-09-15 |
| 1265477624 | Carlos L. Cordoba M.d. Inc. | Clinic/Center | 703 N Fulton St, Fresno, CA 93728-3405 | 2006-06-19 |
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| 1255951679 | Sedrick Dewayne Bunton | Clinic/Center | 2923 Havenwood Ct, Richmond, TX 77406-2091 | 2020-04-26 |
| Find all providers with the same taxonomy | ||||
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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.