BLOSSOM RESIDENTIAL LLC (NPI# 1518385277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518385277 |
Entity Type | Organization |
Organization Name | BLOSSOM RESIDENTIAL LLC |
Practice Address |
548 Main Blvd Prichard AL 36610-4048 |
Mailing Address |
Po Box 774 Mobile AL 36601-0774 |
Practice Telephone | 2516438885 |
Mailing Telephone | 2516438885 |
Enumeration Date | 2014-03-31 |
Last Update Date | 2014-03-31 |
Authorized Official Name | MRS. CRYSTAL EIRBY BLACK (CEO) |
Authorized Official Telephone | 2516438885 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
548 MAIN BLVD |
City | PRICHARD |
State | AL |
Zip Code | 36610-4048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366915977 | Jk Enterprise | Public Health or Welfare | 109 Clark Ave, Prichard, AL 36610 | 2019-01-07 |
1942303672 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2280 Mlk Blvd, Mobile, AL 36610 | 2006-09-07 |
1013986785 | Franklin Primary Health Center, Inc. | General Practice | 1904 Bishop Ave, Mobile, AL 36610 | 2006-03-16 |
1780157065 | Jk Enterprise | Clinic/Center | 109 Clark Ave, Prichard, AL 36610 | 2019-01-09 |
1578523791 | Marion Louis Carroll | Internal Medicine | 424 S Wilson Ave, Prichard, AL 36610 | 2006-03-23 |
1023663044 | Brenda Powe Frazier | Technician | 308 Lucky Way, Prichard, AL 36610-2276 | 2019-08-06 |
1134219272 | Central Discount Drugs Inc | Pharmacy | 628 N Wilson Ave, Prichard, AL 36610-2316 | 2006-10-12 |
1932435575 | Helping Hands Health Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 627 Lane Ave, Prichard, AL 36610-2364 | 2009-11-01 |
1164446753 | Mobile County Board of Health | Clinic/Center | 800 Whitley St, Mobile, AL 36610-3318 | 2006-07-27 |
1336496421 | Amy Lynn Britton | Nurse Practitioner | 800 Whitley St, Mobile, AL 36610-3318 | 2012-08-08 |
Find all providers in zip 36610 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932435575 | Helping Hands Health Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 627 Lane Ave, Prichard, AL 36610-2364 | 2009-11-01 |
1427693373 | Battiste Certified Residential Facility LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 432 Gilbert St, Prichard, AL 36610-4452 | 2019-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184236721 | Nekiya Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Fox Run Lane, Pell City, AL 35125-9366 | 2020-08-17 |
1952926230 | Ouicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 E Forest Ave, Troy, AL 36081-4501 | 2020-06-11 |
1194352120 | Montessori Mental Health LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Glen Meadow Ln, Harvest, AL 35749-8995 | 2020-03-27 |
1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
1356858930 | Latoya Mckinstry | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3914 Watermelon Rd, Northport, AL 35473-5184 | 2018-01-04 |
1972021970 | Volunteers of America Southeast | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 Hillcrest Rd, Mobile, AL 36695-3930 | 2017-08-30 |
1316463144 | Answered Prayer Home Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4101 Wall St Ste C, Montgomery, AL 36106-3724 | 2017-08-14 |
1851813422 | Ericka Letoindia Betton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1554 Basil St, Mobile, AL 36603-5019 | 2017-07-14 |
1740719566 | Yvette Renee Fuller | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Populus Dr, Harvest, AL 35749-4802 | 2017-06-06 |
1790134757 | Three Folds Care Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6336 Taylor Ridge Rd, Montgomery, AL 36116-6507 | 2016-06-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.