BLOSSOMS SENIOR HEALTH LLC


Address: 11508 Se 76th St, Newcastle, WA 98056-1602
Phone: 2062458121

BLOSSOMS SENIOR HEALTH LLC (NPI# 1518590090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518590090
Entity Type Organization
Organization Name BLOSSOMS SENIOR HEALTH LLC
Practice Address 11508 Se 76th St
Newcastle
WA 98056-1602
Mailing Address 6947 Coal Creek Pkwy Se # 384
Newcastle
WA 98059-3136
Practice Telephone 2062458121
Mailing Telephone 2062458121
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Authorized Official Name BEIBEI CHEN (PROVIDER)
Authorized Official Telephone 2062458121
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 11508 SE 76TH ST
City NEWCASTLE
State WA
Zip Code 98056-1602

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1306212667 Tri City Vision Center, Pllc Clinic/Center 918 Nw 32nd St, Newcastle, OK 73065-6605 2015-08-20

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Competitor

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City NEWCASTLE
Zip Code 98056

Improve Information

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Dataset Information

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.

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