Blossom Hill Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

36G322 Issued in OH

Legal business name

BLOSSOM HILL INC.

Doing business as

Center Ridge House

Practice address

28700 Center Ridge Rd
Westlake, OH 44145-5213

Phone

(440) 892-2042

Fax

(440) 892-7768

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lynne M. Urbanski

Title

Director

Phone

(440) 892-2042

Specialties & licenses 1

Addresses

Other names 1

• Center Ridge House Doing business as

Tax ID family

Blossom Hill Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Blossom Hill Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Westlake, OH
  • NPI 1588473458
  NPD tax ID
• Blossom Hill Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Parma, OH
  • NPI 1861031841
  NPD tax ID
• Blossom Hill, Inc.

  dba Haven Hill Home

  • Intellectual Disabilities Intermediate Care Facility
  • Brecksville, OH
  • NPI 1629226477
  NPD tax ID
• Blossom House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • N Royalton, OH
  • NPI 1154767606
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1609085844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455213",
            "telephone_number": "440-892-2042",
            "fax_number": "440-892-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455213",
            "telephone_number": "440-892-2042",
            "fax_number": "440-892-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HILL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "URBANSKI",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-892-2042",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "36G322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Ridge House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denisha Eurana Blanchard
• Janice Marie Blau, DO
• Matthew C. Blazek, M.D.
• Ioana Alexandra Blidaru
• Blossom Hill Inc.
• Samantha M Blovsky
• Greg Bloxdorf, DO
• Amanda Kathryn Blue, LISW
• Bluedot Cares of Ohio LLC
• Henry Blunk

• Intellectual Disabilities Intermediate Care Facility in Westlake, OH
• Providers in Westlake, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.