Blossom Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOSSOM AGENCY

Practice address

209 Chasemore LN
Arlington, TX 76018-1084

Phone

(682) 367-9149

NPI assigned

Jun 20, 2020

Last updated

Jul 22, 2021By 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

Duy LeNPI 1396324190

Title

Administrator

Phone

(682) 367-9149

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Duy Quoc Le

  • Home Health Aide
  • Arlington, TX
  • NPI 1396324190
  NPD Authorized official

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1790301224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHASEMORE LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181084",
            "telephone_number": "682-367-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHASEMORE LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181084",
            "telephone_number": "682-367-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DUY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-367-9149"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790301224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.