Blossom Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOSSOM CARE INC.

Doing business as

Blossom Home Health

Practice address

1500 W Shaw Ave Ste 302
Fresno, CA 93711-3501

Phone

(559) 430-5895

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Haykanush Keshishyan

Title

Owner/Ceo/DPCS

Phone

(559) 430-5895

Specialties & licenses 1

Addresses

Other names 1

• Blossom Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559766

Legal name

BLOSSOM CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 22, 2021

Last certification

Dec 22, 2021

Organization structure

CorporationProprietary

Incorporated

Dec 22, 2019 in CA

Enrollment address

1500 W Shaw Ave
Ste 302
Fresno, CA 93711-3501
HHA Branch

Listed as

Blossom Home HealthCCN 559766 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Dec 22, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pam K Janda, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1912994237

  Home health agency

  Care Compare affiliation
• Myint Zaw, M.D.

  • Specialist
  • Fresno, CA
  • NPI 1063527463

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1679196034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W SHAW AVE STE 302",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113501",
            "telephone_number": "559-430-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W SHAW AVE STE 302",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113501",
            "telephone_number": "559-430-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "KESHISHYAN",
        "authorized_official_first_name": "HAYKANUSH",
        "authorized_official_title_or_position": "OWNER/CEO/DPCS",
        "authorized_official_telephone_number": "559-430-5895"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fresno, CA
• Providers in Fresno, 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 May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.