Organization · NPI-2

Blossom Homecare Service LLC

Home Health · Ocala, FL

NPI number1871357590

StatusActive

Last updated in NPPESApr 17, 2024

Details

NPI: 1871357590
Entity type: Organization (NPI-2)
Legal business name: Blossom Homecare Service LLC
Organization subpart: No
Enumeration date: Feb 13, 2024
Certification date: Apr 17, 2024
Last updated: Apr 17, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251V00000X	Voluntary or Charitable	–	–
253Z00000X	In Home Supportive Care	–	–
310400000X	Assisted Living Facility	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
347C00000X	Private Vehicle	–	–
385H00000X	Respite Care	–	–

Practice location

1515 E Silver Springs Blvd Ste 141
Ocala, FL 34470-6830

Phone 352-480-6314

Mailing address

7664 Ne 185th Ter
Williston, FL 32696-3881

Phone 352-480-6314

Authorized official

Serena Stewart
Owner
3524806314

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.