NPIMap

Organization Active NPI

Blossom Services Group LLC

  • Personal Care Attendant
  • West Fargo, ND
National Provider Identifier
1023693801
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
BLOSSOM SERVICES GROUP LLC
Doing business as
Blossom Services Group LLC
Practice address
2046 Ruttan CT
West Fargo, ND 58078-4258
Phone
(717) 418-3699
NPI assigned
Mar 13, 2021
Last updated
Mar 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sahr Thomas, MBANPI 1407764327
Title
Manager
Phone
(717) 418-3699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2046 Ruttan CT
West Fargo, ND 58078-4258

Mailing address

2046 Ruttan CT
West Fargo, ND 58078-4258
Phone (717) 418-3699

Other names 1

  • Blossom Services Group LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blossom Services Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615593600000",
    "number": "1023693801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 RUTTAN CT",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784258",
            "telephone_number": "717-418-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 RUTTAN CT",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784258",
            "telephone_number": "717-418-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM SERVICES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SAHR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-418-3699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Services Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.