Organization Active NPI

Blossom 24 Hour We Care Center, Inc

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1417904228
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOSSOM 24 HOUR WE CARE CENTER, INC
Doing business as
Blossom/Xtra Helping Hands
Practice address
12727 Buckeye Rd
Cleveland, OH 44120-2881
Phone
(216) 229-3337
Fax
(216) 421-1817
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Ms. Dreamer J Sanders
Title
President/Ceo
Phone
(216) 229-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

12727 Buckeye Rd
Cleveland, OH 44120-2881

Mailing address

12727 Buckeye Rd
Cleveland, OH 44120-2881
Phone (216) 229-3337

Other identifiers 1

IdentifierTypeStateIssuer
2434397MedicaidOH

Other names 1

  • Blossom/Xtra Helping Hands Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blossom 24 Hour We Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1417904228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 BUCKEYE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202881",
            "telephone_number": "216-229-3337",
            "fax_number": "216-421-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 BUCKEYE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202881",
            "telephone_number": "216-229-3337",
            "fax_number": "216-421-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM 24 HOUR WE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DREAMER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "216-229-3337",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2434397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom/Xtra Helping Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.