Organization Active NPI

Blossom Healthcare Solutions, LLC

  • Customized Equipment (DME)
  • Cincinnati, OH
National Provider Identifier
1134717556
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BLOSSOM HEALTHCARE SOLUTIONS, LLC
Practice address
10265 Spartan Dr Ste H
Cincinnati, OH 45215-1237
Phone
(317) 384-5505
NPI assigned
Jan 3, 2021
Last updated
Jan 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Authorized official

Name
Terri Renee Gist, MHA, CPC
Title
Owner
Phone
(317) 384-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

10265 Spartan Dr Ste H
Cincinnati, OH 45215-1237

Mailing address

10265 Spartan Dr Ste H
Cincinnati, OH 45215-1237
Phone (317) 384-5505

Other names 1

  • Blossom Healthcare Solutions, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

10265 Spartan Dr
Ste H
Cincinnati, OH 45215
Phone (317) 384-5505

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1134717556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 SPARTAN DR STE H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151237",
            "telephone_number": "317-384-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10265 SPARTAN DR STE H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151237",
            "telephone_number": "317-384-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-384-5505",
        "authorized_official_credential": "MHA, CPC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Healthcare Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.