Blossom Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLOSSOM HEALTHCARE LLC

Practice address

3051 Whiteside Rd
Macon, GA 31216-6209

Phone

(478) 347-2400

NPI assigned

Sep 16, 2025

Organization subpart

No

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

Authorized official

Name

Simcha Z Krohn

Title

Member of LLC

Phone

(732) 664-4836

Specialties & licenses 1

Addresses

Other names 1

• Blossom Healthcare & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1083585608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BIRCH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014701",
            "telephone_number": "516-295-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WHITESIDE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166209",
            "telephone_number": "478-347-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "732-664-4836"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Healthcare & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Blankenship
• Keith Leslie Blankenship, PT
• Lakesha Blash
• Gail Simpson Bleichner
• Stephanie A Bleshoy, PA-AA
• Ronnie Blount, M.D.
• Taneshia Blount, RBT
• Blue Cedar Counseling
• Corey Denise Blue, MD
• Brice Austin Blum, MD

• Skilled Nursing Facility in Macon, GA
• Providers in Macon, GA by specialty
• Skilled Nursing Facility in Georgia

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