BLOSSOM NORTH, LLC (NPI# 1760545362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760545362 |
| Entity Type | Organization |
| Organization Name | BLOSSOM NORTH, LLC |
| Other Organization Name | BLOSSOM NORTH NURSING AND REHABILITATION CENTER |
| Practice Address |
1335 Portland Ave Rochester NY 14621-2706 |
| Practice Telephone | 5855444000 |
| Practice Fax Number | 5855444440 |
| Mailing Telephone | 5855444000 |
| Mailing Fax Number | 5855444440 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | GERALD J WOOD (OPERATOR) |
| Authorized Official Telephone | 5166791500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2701356N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 182720CI | 01 |
| NY | 00355555 | 05 |
| Other Name | Type Code |
|---|---|
| Blossom North Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1335 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557988 | The Pearl Nursing Center of Rochester LLC | Skilled Nursing Facility | 1335 Portland Ave, Rochester, NY 14621-2706 | 2020-04-22 |
| 1700242948 | Cathleen Zwick | Occupational Therapist | 1335 Portland Ave, Rochester, NY 14621-2706 | 2016-01-04 |
| 1912228271 | Blossom North | Skilled Nursing Facility | 1335 Portland Ave, Rochester, NY 14621-2706 | 2010-06-21 |
| 1386881118 | Sarah Marie Fackelman | Licensed Practical Nurse | 1335 Portland Ave, Rochester, NY 14621-2706 | 2009-01-15 |
| 1780837492 | Krista Marlene Celso | Physical Therapy Assistant | 1335 Portland Ave, Rochester, NY 14621-2706 | 2008-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1679009633 | Love's Compassion Care | Skilled Nursing Facility | 67 Keller St, Rochester, NY 14609-3948 | 2017-05-11 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1356889414 | Ajaypal Singh | Skilled Nursing Facility | 55 Essex Dr, Rochester, NY 14623-3007 | 2017-02-08 |
| 1437694817 | Clements Nursing | Skilled Nursing Facility | 21 Quamina Dr, Rochester, NY 14605-1234 | 2016-12-21 |
| 1841656469 | Latta Road Nursing Home West, LLC | Skilled Nursing Facility | 2100 Latta Rd, Rochester, NY 14612-3728 | 2016-01-12 |
| 1003272626 | Latta Road Nursing Home East, LLC | Skilled Nursing Facility | 2102 Latta Rd, Rochester, NY 14612-3728 | 2016-01-12 |
| 1043576648 | Brittany Leah Murray | Skilled Nursing Facility | 192 Furlong St., Rochester, NY 14621 | 2012-04-09 |
| 1750444246 | Blossom South, LLC | Skilled Nursing Facility | 1175 Monroe Ave, Rochester, NY 14620-1613 | 2006-12-18 |
| 1730258914 | Westgate Nursing Home Inc | Skilled Nursing Facility | 525 Beahan Road, Rochester, NY 14624 | 2006-11-06 |
| Find all providers in ROCHESTER | ||||
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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.