Blossom & Evolve, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOSSOM & EVOLVE, LLC

Practice address

78 Buena Vista Dr
New Castle, DE 19720-4660

Phone

(302) 525-1499

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nychole Sha-Reese WrightNPI 1083224463

Title

Administrator

Phone

(302) 433-9014

Specialties & licenses 1

Addresses

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.

• Nychole Sha-Reese Wright, ADMINISTRATOR

  • Case Manager/Care Coordinator
  • New Castle, DE
  • NPI 1083224463
  NPD Authorized official

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1073125886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26502",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198996502",
            "telephone_number": "302-433-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BUENA VISTA DR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204660",
            "telephone_number": "302-525-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM & EVOLVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "NYCHOLE",
        "authorized_official_middle_name": "SHA-REESE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-433-9014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in New Castle, DE
• Providers in New Castle, DE by specialty
• Assisted Living Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.