Organization Active NPI

Blossom Breeze Home Care, LLC

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1871380030
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOSSOM BREEZE HOME CARE, LLC
Practice address
11434 Bluestem Way
Fredericksburg, VA 22407-8440
Phone
(301) 996-1404
NPI assigned
Apr 22, 2025
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Haja K Williams
Title
President
Phone
(301) 996-1404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

11434 Bluestem Way
Fredericksburg, VA 22407-8440

Mailing address

11434 Bluestem Way
Fredericksburg, VA 22407-8440
Phone (301) 996-1404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1871380030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11434 BLUESTEM WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078440",
            "telephone_number": "301-996-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11434 BLUESTEM WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078440",
            "telephone_number": "301-996-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM BREEZE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAJA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-996-1404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

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