NPIMap

Organization Active NPI

Blossom View Nursing Home

  • Rehabilitation Clinic/Center
  • Sodus, NY
National Provider Identifier
1053600841
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
5828301N Issued in NY
Legal business name
BLOSSOM VIEW NURSING HOME
Practice address
47 Maple Ave
Suite 300
Sodus, NY 14551-1057
Phone
(315) 483-2000
Fax
(315) 483-6805
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Chari Carr
Title
Manager
Phone
(315) 483-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 5828301N NY Primary

Addresses

Primary practice location

47 Maple Ave
Suite 300
Sodus, NY 14551-1057

Mailing address

47 Maple Ave
Suite 300
Sodus, NY 14551-1057
Phone (315) 483-2000

Other identifiers 2

IdentifierTypeStateIssuer
00997604MedicaidNY
5828301NOtherNYLICENSE

Other names 1

  • Blossom View Outpatient Therapy Center Other name

National Provider Directory

National Provider Directory

Locations

47 Maple Ave
Ste 300
Sodus, NY 14551
Phone (315) 483-2000

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1053600841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAPLE AVE",
            "address_2": "SUITE 300",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145511057",
            "telephone_number": "315-483-2000",
            "fax_number": "315-483-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAPLE AVE",
            "address_2": "SUITE 300",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145511057",
            "telephone_number": "315-483-2000",
            "fax_number": "315-483-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM VIEW NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CHARI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-483-2000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "5828301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00997604",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5828301N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom View Outpatient Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sodus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.