Blossom Community Care, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BLOSSOM COMMUNITY CARE, INC

Practice address

22486 Newcut Rd
Clarksburg, MD 20871-9488

Phone

(646) 499-1887

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By 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

Marian Owusu

Title

Partner

Phone

(646) 499-1887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1376365205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22486 NEWCUT RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719488",
            "telephone_number": "646-499-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22486 NEWCUT RD",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719488",
            "telephone_number": "646-499-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "646-499-1887"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Hoffower Bandholz, CCC-SLP
• Carla Beckward
• Maureen Bejanga
• Benab Healthcare Services Incorporated
• Ahmadu Umarr Benya
• Kathleen S Bonsall, PT, DPT
• James London Boyd
• Brli Genpath Diagnostics, Inc (GenPath)
• Browne-Mindcare Solutions of Maryland, P.C.
• Bryden LLC (KeepMeTight)

• Developmentally Disabled Services Day Training Agency in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Developmentally Disabled Services Day Training Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.