Southern Blossom

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHERN BLOSSOM

Practice address

4308 Hunting TRL
Lake Worth, FL 33467-3504

Phone

(561) 633-2448

Fax

(561) 682-1947

NPI assigned

Aug 29, 2007

Organization subpart

Yes

Parent organization

RESURRECTION POWER INC.As reported in NPPES

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

Authorized official

Name

Ms. Dahlia Jones

Title

C.E.O.

Phone

(561) 633-2448

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1457545873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 N LAKE BLVD",
            "address_2": "SUITE 120",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085421",
            "telephone_number": "561-633-2448",
            "fax_number": "561-682-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 HUNTING TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673504",
            "telephone_number": "561-633-2448",
            "fax_number": "561-682-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BLOSSOM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESURRECTION POWER INC.",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "561-633-2448",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Florida Orthopaedics & Sports Medicine, PA
• South Florida Treatment Center
• South Florida Treatment Center
• South Palm Beach Medical Services Inc
• Southeastern Imaging Associates Inc
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Medical Laboratories LLC.
• Jennifer N/a Southern, BEHAVIOR ASSISTANT
• Sovereign Healthcare of Medicana, LLC

• All providers in Lake Worth, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.