Blossom Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

BLOSSOM CARE LLC

Practice address

700 Main Street
Suite 3
Bangor, ME 04401-6800

Phone

(510) 314-2366

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Ahmad Reshad Hadi

Title

Ceo

Phone

(510) 314-2366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1851104756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN STREET",
            "address_2": "SUITE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "510-314-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN STREET",
            "address_2": "SUITE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "510-314-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "RESHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-314-2366"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Bangor, ME
• Providers in Bangor, ME by specialty
• Personal Care Attendant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.