Blossom Health Services

LBN: Blossom Health Services
Blossom Health Services is an health care organization with primary practice located at 2416 Newberry Ln , Mount Juliet TN 37122-7460. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Blossom Health Services can be contacted via phone (615) 553-4325, or through Kisob, Gertrude A via phone (615) 553-4325.

Contact Information

Primary practice address
2416 Newberry Ln Mount Juliet TN 37122-7460
Phone: (615) 553-4325
Fax: (615) 754-6724
Website:
Map and Directions
Authorized official contact:
Name: Kisob, Gertrude A
Phone: (615) 553-4325

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X PSS0000000257 Tennessee

Profile Details

NPI number 1275862963
LBN Legal business name Blossom Health Services
DBA Doing business as
Authorized official Kisob, Gertrude A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2009
Last updated Dec 9th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275862963 NPPES
Tennessee MEDICAID H445294

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