National Provider Identifier

Blossom South, LLC

Blossom South, LLC is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility in Rochester, NY and a listed phone number of (585) 442-0450.

NPI 1750444246Rochester, NYSkilled Nursing Facility

Source: public NPPES record, last updated July 19, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1750444246
Provider Type
Organization
Primary Specialty
Skilled Nursing Facility
Enumeration Date
December 18, 2006
Last Updated
July 19, 2007

Practice Location

  • 1175 Monroe Ave
  • Rochester, NY 14620-1613

Phone: (585) 442-0450

Authorized Official

Name
Gerald J Wood
Title
Operator
Phone
(516) 679-1500

Specialties

  • Skilled Nursing Facility (314000000X)

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Organization Overview

BLOSSOM SOUTH, LLC operated Blossom South Nursing and Rehabilitation Center in Rochester, New York. New York State Department of Health certificate-of-need records show Blossom South was established in 2006 as the new operator of the former Arbor Hill Care Center. The U.S. Department of Health and Human Services later described Blossom South as a Rochester skilled nursing facility and, in a 2014 Departmental Appeals Board decision, affirmed CMS’s termination of the facility’s Medicare participation; the decision also notes the facility had been designated a Special Focus Facility in 2011.

Full Record
NPI
1750444246
Entity Type
Organization
Organization Name
Blossom South, LLC
Provider Other Organization Name Type Code
6
Mailing Street Address
1175 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1613
Mailing Country
US
Mailing Phone
(585) 442-0450
Mailing Fax
(585) 442-2855
Practice Street Address
1175 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1613
Practice Country
US
Practice Phone
(585) 442-0450
Practice Fax
(585) 442-2855
Enumeration Date
December 18, 2006
Last Updated
July 19, 2007
Authorized Official Last Name
Wood
Authorized Official First Name
Gerald
Authorized Official Middle Name
J
Authorized Official Title
Operator
Authorized Official Phone
(516) 679-1500
Organization Subpart
No
Taxonomies
Skilled Nursing Facility (314000000X)
Other Identifiers
00355573 (NY), 183542CI (NY, Preferred Care)