Active NPI
Blossomcare, LLC
- Home Health Agency
- Redford, MI
National Provider Identifier
1043074552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLOSSOMCARE, LLC
- Practice address
- 14114 Mercedes
Redford, MI 48239-3041 - Phone
- (248) 579-8588
- NPI assigned
- Feb 6, 2024
- 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
- Donyale Beckman
- Title
- Owner
- Phone
- (248) 579-8858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
14114 Mercedes
Redford, MI 48239-3041
Mailing address
14114 Mercedes
Redford, MI 48239-3041
Phone (248) 579-8858
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1043074552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 MERCEDES",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393041",
"telephone_number": "248-579-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 MERCEDES",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393041",
"telephone_number": "248-579-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOMCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "BECKMAN",
"authorized_official_first_name": "DONYALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-579-8858"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.