Active NPI
Blossom Hill Senior Living LLC
- Assisted Living Facility
- Alpharetta, GA
National Provider Identifier
1326810995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.