Organization Active NPI

Blossom Adult Day Center

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1982393625
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOSSOM ADULT DAY CENTER
Practice address
19203 Chickasaw Ave
Cleveland, OH 44119
Phone
(216) 672-1220
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Kimberly Cummings, M.S.
Title
Director of Operation
Phone
(216) 672-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19203 Chickasaw Ave
Cleveland, OH 44119

Mailing address

19203 Chickasaw Ave
Cleveland, OH 44119
Phone (216) 672-1220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1982393625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19203 CHICKASAW AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44119",
            "telephone_number": "216-672-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19203 CHICKASAW AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44119",
            "telephone_number": "216-672-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "216-672-1220",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.