Organization Active NPI

Blossom Hill LLC

  • Assisted Living Facility
  • Woodbury, MN
National Provider Identifier
1508747395
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLOSSOM HILL LLC
Practice address
6765 Buckingham Rd
Woodbury, MN 55125-2475
Phone
(763) 285-9666
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Mr. Ahmed M Hussein
Title
Owner / Assisted Living Director
Phone
(507) 213-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6765 Buckingham Rd
Woodbury, MN 55125-2475

Mailing address

6765 Buckingham Rd
Woodbury, MN 55125-2475
Phone (763) 285-9666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1508747395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 BUCKINGHAM RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252475",
            "telephone_number": "763-285-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 BUCKINGHAM RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252475",
            "telephone_number": "763-285-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "507-213-9335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.