Blossom Care Services Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BLOSSOM CARE SERVICES INC

Practice address

9100 Southwest Fwy
Suite 217
Houston, TX 77074-1513

Phone

(713) 981-9200

Fax

(713) 981-9201

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By 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

Ms. Bavakan Avetisyan

Title

Director

Phone

(713) 981-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamika Denson-Willis, MD

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1780757229
  NPD (past)
• Jinping Fan, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1134308877
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1164722336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY",
            "address_2": "SUITE 217",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741513",
            "telephone_number": "713-981-9200",
            "fax_number": "713-981-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY",
            "address_2": "SUITE 217",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741513",
            "telephone_number": "713-981-9200",
            "fax_number": "713-981-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "BAVAKAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-981-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bloss, M.D.
• Blossom Assisted Living
• Blossom Behavioral Health LLC
• Blossom Behavioral Health LLC
• Blossom Behavioral, LLC.
• Blossom Counseling and Wellness
• Blossom Dentistry
• Blossom Health and Wellness /Center, LLC
• Blossom Healthcare, Inc.
• Blossom OT LLC

• Health Service Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.