Active NPI
Blossom Healthcare, Inc.
- Home Health Agency
- Houston, TX
National Provider Identifier
1013224682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLOSSOM HEALTHCARE, INC.
- Practice address
- 9894 Bissonnet Street
Suite 422
Houston, TX 77036 - Phone
- (281) 822-0061
- Fax
- (281) 822-0060
- NPI assigned
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Innocent I Obeta
- Title
- Administrator
- Phone
- (281) 822-0061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 000000000 | TX | |
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9894 Bissonnet Street
Suite 422
Houston, TX 77036
Mailing address
9894 Bissonnet Street
Suite 422
Houston, TX 77036
Phone (281) 822-0061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299945001 | Medicaid | TX |
Other names 1
- Blossom Healthcare Inc
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Richmond, TX
- NPI 1659930899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558310400000",
"number": "1013224682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9894 BISSONNET STREET",
"address_2": "SUITE 422",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "281-822-0061",
"fax_number": "281-822-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9894 BISSONNET STREET",
"address_2": "SUITE 422",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "281-822-0061",
"fax_number": "281-822-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2019-05-20",
"status": "A",
"authorized_official_last_name": "OBETA",
"authorized_official_first_name": "INNOCENT",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-822-0061",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "000000000",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299945001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blossom Healthcare Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Blossom Healthcare Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.