Blossom Hospice, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOSSOM HOSPICE, INC.

Doing business as

BLOSSOM HOSPICE, INC.

Practice address

13615 Victory Blvd Ste 213
Van Nuys, CA 91401-1795

Phone

(818) 290-3050

Fax

(818) 301-3179

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Shushane Yesayan

Title

Ceo/Administrator

Phone

(424) 230-2288

Specialties & licenses 1

Addresses

Other names 1

• BLOSSOM HOSPICE, INC. Doing business as

Locations

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1538648449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011795",
            "telephone_number": "818-290-3050",
            "fax_number": "818-301-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011795",
            "telephone_number": "818-290-3050",
            "fax_number": "818-301-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "YESAYAN",
        "authorized_official_first_name": "SHUSHANE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "424-230-2288"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOSSOM HOSPICE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLOSSOM HOSPICE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.