Organization Active NPI

Blossom and Flourish , LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1760201909
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLOSSOM AND FLOURISH , LLC
Practice address
517 N Chester St
Baltimore, MD 21205-2332
Phone
(443) 415-7379
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Ambria Boyd
Title
Owner
Phone
(443) 415-7379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

517 N Chester St
Baltimore, MD 21205-2332

Mailing address

517 N Chester St
Baltimore, MD 21205-2332
Phone (443) 415-7379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1760201909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N CHESTER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052332",
            "telephone_number": "443-415-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CHESTER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052332",
            "telephone_number": "443-415-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM AND FLOURISH , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "AMBRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-415-7379"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.