Blossom Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOSSOM HOME CARE LLC

Practice address

2613 21St St
Astoria, NY 11102-3544

Phone

(718) 732-0100

Fax

(718) 873-2095

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Brachfeld

Title

Owner

Phone

(917) 733-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1457969388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023544",
            "telephone_number": "718-732-0100",
            "fax_number": "718-873-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "BRACHFELD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-733-8868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977L001",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blossomhc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2613 21st St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111023544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blossomhc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2613 21st St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111023544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blossomhc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2613 21st St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111023544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin Madonna Blaize
• Wendy Jill Blank, OTR/L
• Walter Robert Blick, MS, OTR/L
• Gabrielle Block
• Leora Blond, PA-C
• Katie Elizabeth Blumenfeld, LMSW
• Erik Blutinger, M.D., M.SC.
• George H Bock, M.D.
• Chelsea Bodansky
• Body in Balance Physical Therapy, PC (Millennium Physical Therapy and Sports Medicine, PC)

• Home Health Agency in Astoria, NY
• Providers in Astoria, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.