Organization Active NPI

Blossom Cleaning & Organizing LLC

  • Homemaker
  • South Bend, IN
National Provider Identifier
1881469187
Registry record updated Nov 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
BLOSSOM CLEANING & ORGANIZING LLC
Practice address
4015 S Main St
South Bend, IN 46614-2525
Phone
(574) 337-3401
NPI assigned
Nov 17, 2023
Last updated
Nov 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2023

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

Authorized official

Name
Mrs. Leslinda Wilson
Title
Owner
Phone
(574) 337-3401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4015 S Main St
South Bend, IN 46614-2525

Mailing address

PO Box 10083
South Bend, IN 46680-0083
Phone (574) 337-3401

National Provider Directory

National Provider Directory

Locations

4015 S Main St
South Bend, IN 46614
Phone (574) 337-3401

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700956800000",
    "number": "1881469187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10083",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466800083",
            "telephone_number": "574-337-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S MAIN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142525",
            "telephone_number": "574-337-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CLEANING & ORGANIZING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LESLINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-337-3401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; 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.