Blossom Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLOSSOM HOME CARE LLC

Doing business as

Blossom Home Care

Practice address

28492 Pear Blossom LN
Moreno Valley, CA 92555-6960

Phone

(951) 455-5755

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By 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

Gianna Marie Ibach

Title

LLC Member

Phone

(951) 455-5755

Specialties & licenses 1

Addresses

Other names 1

• Blossom Home Care Doing business as

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1073315750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28492 PEAR BLOSSOM LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556960",
            "telephone_number": "951-455-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28492 PEAR BLOSSOM LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556960",
            "telephone_number": "951-455-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "IBACH",
        "authorized_official_first_name": "GIANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "951-455-5755"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melyssa Blankenship
• Blas Homes, LLC
• Blissful Acres Residential Care
• Lindsey Lee Block, NP
• Blooming Pathways Behavioral Health Group LLC
• Cheri Lynn Blucher, R.D.
• Bo Ram Um DDS, Inc (Smile MV Dental)
• Bo Ram Um DDS, Inc.
• Bo Young Han Inc
• Mary Nashat Boctor, PHARMACIST

• Assisted Living Facility in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.