Blossom Groups Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOSSOM GROUPS CORPORATION

Practice address

12959 Jupiter Rd
#253
Dallas, TX 75238-5223

Phone

(469) 906-6359

Fax

(469) 906-6385

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ukachi Akogu, ADMINISTRATOR

Title

RN

Phone

(469) 906-6359

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Blossom Home Healthcare Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 677807

Legal name

BLOSSOM GROUPS CORPORATION

Doing business as

BLOSSOM HOME HEALTHCARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 14, 2006

Last certification

Dec 22, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 25, 2005 in TX

Enrollment address

12959 Jupiter Rd
Ste 253
Dallas, TX 75238-3296

Listed as

Blossom Home Healthcare ServicesCCN 677807

Ownership

Proprietary

Certified

Feb 14, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1457497232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 JUPITER RD",
            "address_2": "#253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385223",
            "telephone_number": "469-906-6359",
            "fax_number": "469-906-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 JUPITER RD",
            "address_2": "#253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385223",
            "telephone_number": "469-906-6359",
            "fax_number": "469-906-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM GROUPS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "AKOGU",
        "authorized_official_first_name": "UKACHI",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "469-906-6359",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blossom Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven L Bloom, MD
• Kerry Bradford Bloomer, OTR
• Corben P Bloomfield, LPC
• Gary M Bloomgarden, MD
• Blooming Minds Psychiatry PLLC
• Blossom Home Health Care LLC
• Erin Blotcky
• Mark Joel Blotcky, M.D.
• Vanessa Lynn Bludau, RN, FNP-C
• Blue Bayou Services Inc

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.