Blossom View Nursing Home, Inc.
Organization Active NPI Skilled Nursing Facility · Sodus, NY
NPI 1366445074 · NPPES record last updated Aug 10, 2007
Key facts
- NPI
- 1366445074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 5828301N (NY)
- Legal business name
- BLOSSOM VIEW NURSING HOME, INC.
- Practice address
- 6884 Maple Ave
Sodus, NY 14551-9303 - Phone
- (315) 483-9118
- Fax
- (315) 483-9432
- NPI assigned
- May 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Naomi Wentz
- Title
- Business Manager
- Phone
- (315) 483-9118
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Blossom View Nursing Home Inc
Locations
6884 Maple Ave
Sodus Center, NY 14551
Phone (315) 483-9118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 5828301N | NY | |
| Skilled Nursing Facility | 314000000X | 5828301N | NY | Yes |
Addresses
Primary practice location
6884 Maple Ave
Sodus, NY 14551-9303
Mailing address
6884 Maple Ave
Sodus, NY 14551-9303
Phone (315) 483-9118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5828301N | Other | NY | OPERATING CERTIFICATE # |
| 00997604 | Medicaid | NY |
Other providers in Sodus, NY
- Emily Ballou
- Colleen Barron
- Patricia Anne Battle
- Danielle Renee Bloomer
- Blossom View Nursing Home
- Jessica Bolinger
- Patricia Marie Buyck
- Bvrnc Operating LLC
- Arif H Choudhury
- Tamara Cobb
All providers in Sodus, NY · Skilled Nursing Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.