Blossom Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-191931 Issued in VA

Legal business name

BLOSSOM HOME HEALTHCARE, LLC

Practice address

46191 Westlake Dr Ste 101
Potomac Falls, VA 20165-5870

Phone

(571) 313-0209

Fax

(800) 491-6153

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Roda Hassan

Title

Coo

Phone

(703) 980-2653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1619450590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46191 WESTLAKE DR STE 101",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655870",
            "telephone_number": "571-313-0209",
            "fax_number": "800-491-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46191 WESTLAKE DR STE 101",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655870",
            "telephone_number": "571-313-0209",
            "fax_number": "800-491-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "RODA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-980-2653"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-191931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdella Anwarzai
• Heidi Kambrod Archer, MD
• Bestcare Medical Transport LLC
• Sukhmani Bhogal
• BLMD of Loudoun, Inc. (BodyLogicMD of Loudoun)
• Robert Waring Bryce, DDS
• Cac Thanh Bui
• Wendy Anne Buttling, MS, CCC-SLP
• Caring Heart Serving Hands LLC
• Therese Chism

• Home Health Agency in Potomac Falls, VA
• Providers in Potomac Falls, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.