Organization · NPI-2

Blossom Care Home INC.

Assisted Living Facility · Orange, CA

NPI number1083501480
StatusActive
Last updated in NPPESJun 19, 2025

Details

NPI
1083501480
Entity type
Organization (NPI-2)
Legal business name
Blossom Care Home INC.
Organization subpart
No
Enumeration date
Jun 19, 2025
Certification date
Jun 19, 2025
Last updated
Jun 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

812 N Fern St
Orange, CA 92867-7235

Phone 732-589-4692

Mailing address

812 N Fern St
Orange, CA 92867-7235

Phone 732-589-4692

Authorized official

Catherine Hsi
Ceo
7325894692

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