Blossom Lane Home Care Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BLOSSOM LANE HOME CARE SERVICES LLC

Practice address

51562 Durango CT
South Bend, IN 46628-8446

Phone

(574) 355-3333

NPI assigned

Jun 17, 2026

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gladys Marondera, RN

Title

Ceo

Phone

(574) 355-3333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackline Wangui Mburu

  • Registered Nurse
  • South Bend, IN
  • NPI 1386579571
  NPD

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1710812987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51562 DURANGO CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288446",
            "telephone_number": "574-355-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51562 DURANGO CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288446",
            "telephone_number": "574-355-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM LANE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "MARONDERA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-355-3333",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Blomeke, AU. D.
• Ira L Blondheim, PT
• Kira Bloom, LCSW
• Karen L Bloomer, LCSW
• Blossom Cleaning & Organizing LLC
• George W Blount Jr., MSW LMHC
• Austin Lee Blue, LSW
• Jada Jean Blue
• Kathryn Blum, D.P.T.
• Nichole Ann Blume

• Adult Care Home Facility in South Bend, IN
• Providers in South Bend, IN by specialty
• Adult Care Home Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.