Organization Active NPI

Blossman Healthcare Staffing, LLC

  • Nursing Care Agency
  • Poplarville, MS
National Provider Identifier
1073834834
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
BLOSSMAN HEALTHCARE STAFFING, LLC
Practice address
1403 S Main St
Poplarville, MS 39470-3826
Phone
(601) 403-9081
Fax
(601) 403-9082
NPI assigned
Jun 16, 2010
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Judith Ann Blossman, RN
Title
President
Phone
(601) 403-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1403 S Main St
Poplarville, MS 39470-3826

Mailing address

1403 S Main St
Poplarville, MS 39470-3826
Phone (601) 403-9081

National Provider Directory

National Provider Directory

Locations

1403 S Main St
Poplarville, MS 39470
Phone (601) 403-9081

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1073834834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703826",
            "telephone_number": "601-403-9081",
            "fax_number": "601-403-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703826",
            "telephone_number": "601-403-9081",
            "fax_number": "601-403-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSMAN HEALTHCARE STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BLOSSMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-403-9091",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.