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Contact Information

BLOSSOM HEALTH SERVICES
2416 NEWBERRY LN
MOUNT JULIET, TN37122-7460
 Phone: 615-553-4325
 Fax: 615-754-6724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for BLOSSOM HEALTH SERVICES

NPI # 1275862963
LBN Legal business name BLOSSOM HEALTH SERVICES
Authorized official GERTRUDE KISOB - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2009
Last updated 12/09/2009 - About 16 years ago
Identifiers
TN License # PSS0000000257
TN Medicaid H445294
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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