Blossom Ridge Home Health Agency LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLOSSOM RIDGE HOME HEALTH AGENCY LLC

Practice address

520 9TH St Ste 240
Sacramento, CA 95814-1327

Phone

(800) 991-6147

Fax

(916) 382-7683

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

John Saruwatari

Title

Cfo

Phone

(800) 991-6147

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHC California Home Health I, LLC

  dba Blossom Ridge Home Health Agency

  • Home Health Agency
  • Sacramento, CA
  • NPI 1962285965

  Sold to, 2024-10-04

  CMS change of ownership

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1245588581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 9TH ST STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141327",
            "telephone_number": "800-991-6147",
            "fax_number": "916-382-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 9TH ST STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141327",
            "telephone_number": "800-991-6147",
            "fax_number": "916-382-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM RIDGE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "SARUWATARI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-991-6147"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming With Iyanna (Nouvelle Healing)
• Hanna Bloomquist
• Jett Paul Blos
• Sharon A Blosk, M.D.
• Blossom Behavioral Health, LLC
• Blossom Ridge Medical, Inc.
• Blossom Smile of Sacramento PC
• Rebecca Blount, CPSS
• Sharenna Bloxson
• Blue Fin Non Emergency Medical Transportation Inc

• Community Based Hospice Care Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.