BLOSSOM HEALTHCARE LLC
NPI 1508685009
In Home Supportive Care in Phoenix, AZ

NPI Status: Active since October 10, 2024

Contact Information

11201 N TATUM BLVD STE 300
PHOENIX, AZ
ZIP 85028
Phone: (623) 267-4479
Fax: (623) 624-7304

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  • Organization
  • In Home Supportive Care

About BLOSSOM HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Blossom Healthcare Llc, a provider established in Phoenix, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1508685009 assigned on October 2024. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Arnesha Bullock (Ceo)

NPI
1508685009
Provider Name
BLOSSOM HEALTHCARE LLC
Entity Type
Organization
Location Address
11201 N TATUM BLVD STE 300 PHOENIX, AZ 85028
Location Phone
(623) 267-4479
Location Fax
(623) 624-7304
Mailing Address
11201 N TATUM BLVD STE 300 PHOENIX, AZ 85028
Mailing Phone
(623) 267-4479
Mailing Fax
(623) 624-7304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2024
Last Update Date
01-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
3385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARNESHA BULLOCK

Authorized Official Title
CEO
Authorized Official Phone
(623) 267-4479

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508685009
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081281000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 2 + 8 + 1 + 0 + 0 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1508685009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386150035COMPASSION CARE, INC.
Organization
Private Vehicle11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(844) 422-6368
1457998957DEVOTION HOME HEALTH CARE, LLC
Organization
Home Health11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(602) 908-7430
1952937260CREATIVE QUIESCENCE, LLC
Organization
Clinic/Center (Adult Mental Health)11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(602) 525-1058
1740889286SONGBIRD HEALTH AZ LLC
Organization
Behavior Analyst11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(623) 235-0304
1164161360THERESA TIMONY NURSING INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(760) 498-4749
1982336251 AARON MATTHEW SCOTT MD
Individual
Surgery11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(602) 284-3197
1043349400MRS. JESSICA MAE MOODY PHYSICIAN ASSISTANT
Individual
Physician Assistant (Medical)11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(480) 900-3556
1194420174DOCTOR ON CALL CORP
Organization
General Practice11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(480) 900-3556
1235785395PEDROSO PSYCHOLOGICAL SERVICES, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(480) 310-8090
1568942597 BETHANIE WILLIAMS MSN,FNP-C
Individual
Nurse Practitioner (Family)11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(602) 730-2209
1710642228ATLANTIC CARE SERVICES SCOTTSDALE LLC
Organization
Home Health11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(407) 484-2972
1871136150PEDROSO PSYCHOLOGICAL SERVICES, LLC
Organization
Psychologist (Clinical)11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(480) 310-8090
1073394110COMPLETE HUMAN CARE PC
Organization
Family Medicine11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(510) 529-7768
1124731278THE COMPLETE HUMAN CARE PLLC
Organization
Family Medicine11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(510) 529-7768
1780437673ABILITY HOME CARE LLC
Organization
Home Health11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(480) 757-8880
1619962362DR. AARON C LOVE DO
Individual
Emergency Medicine11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(928) 308-5237
1225534670 MEGAN WALKER ALLIGOOD NP
Individual
Nurse Practitioner11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
(510) 529-7768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508685009, enumerated in the NPI registry as an "organization" on October 10, 2024

The provider is located at 11201 N Tatum Blvd Ste 300 Phoenix, Az 85028 and the phone number is (623) 267-4479

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

This NPI record was last updated on October 10, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.