Blossom Services Group LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

BLOSSOM SERVICES GROUP LLC

Practice address

1042 14TH Ave E Ste 210
West Fargo, ND 58078-3363

Phone

(701) 541-9884

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Sahr Thomas, MBA

Title

Founder/Owner

Phone

(701) 541-8884

Specialties & licenses 1

Addresses

Tax ID family

Blossom Services Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blossom Services Group LLC

  • Personal Care Attendant
  • West Fargo, ND
  • NPI 1023693801
  NPD tax ID

Locations

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1104790989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 RUTTAN CT",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784258",
            "telephone_number": "701-541-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 14TH AVE E STE 210",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783363",
            "telephone_number": "701-541-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM SERVICES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SAHR",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "701-541-8884",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Bieber
• Terra Billiet
• Steven Blair
• Terry N Block, MD
• Blossom Services Group LLC
• Tracey Rose Blue
• Ashli Willow Boehm, FNP
• Hannah Boese
• Joel Bogenreif
• Allison Bolin

• All providers in West Fargo, ND
• Intellectual & Developmental Disabilities Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.