Organization Active NPI

Blossom Hill Senior Living LLC

  • Assisted Living Facility
  • Alpharetta, GA
National Provider Identifier
1326810995
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLOSSOM HILL SENIOR LIVING LLC
Practice address
5402 Laurel Ridge Dr
Alpharetta, GA 30005-2606
Phone
(773) 759-5556
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Melissa Nwokorie, BSN/RN
Title
Owner/Executive Director
Phone
(773) 759-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5402 Laurel Ridge Dr
Alpharetta, GA 30005-2606

Mailing address

5402 Laurel Ridge Dr
Alpharetta, GA 30005-2606
Phone (773) 759-5556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1326810995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 LAUREL RIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052606",
            "telephone_number": "773-759-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 LAUREL RIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052606",
            "telephone_number": "773-759-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HILL SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-759-5556",
        "authorized_official_credential": "BSN/RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.