National Provider Identifier

Blossom Health Care Center, Inc.

Blossom Health Care Center, Inc. is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility in Rochester, NY and a listed phone number of (585) 482-3500.

NPI 1225024474Rochester, NYSkilled Nursing Facility

Profile Overview

NPI
1225024474
Provider Type
Organization
Primary Specialty
Skilled Nursing Facility
Enumeration Date
September 23, 2005
Last Updated
April 20, 2008

Practice Location

  • 989 Blossom RD
  • Rochester, NY 14610-2251

Phone: (585) 482-3500

Specialties

  • Skilled Nursing Facility (314000000X)
Full Record
NPI
1225024474
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Blossom Health Care Center, Inc.
Mailing Street Address
989 Blossom RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-2251
Mailing Country
US
Mailing Phone
(585) 482-3500
Mailing Fax
(516) 809-0161
Practice Street Address
989 Blossom RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-2251
Practice Country
US
Practice Phone
(585) 482-3500
Practice Fax
(516) 809-0161
Enumeration Date
September 23, 2005
Last Updated
April 20, 2008
Authorized Official Last Name
Wood
Authorized Official First Name
Gerald
Authorized Official Middle Name
J
Authorized Official Title
President
Authorized Official Phone
(585) 482-3500
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Skilled Nursing Facility (314000000X)
Other Identifiers
00310389 (NY)