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.
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)