National Provider Identifier
Blossom North, LLC
Blossom North, 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) 544-4000.
Source: public NPPES record, last updated September 13, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1760545362
- Provider Type
- Organization
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- December 18, 2006
- Last Updated
- September 13, 2011
Practice Location
- 1335 Portland Ave
- Rochester, NY 14621-2706
Phone: (585) 544-4000
Authorized Official
- Name
- Gerald J Wood
- Title
- Operator
- Phone
- (516) 679-1500
Specialties
- Skilled Nursing Facility (314000000X)
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Full Record
- NPI
- 1760545362
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Blossom North, LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 1335 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2706
- Mailing Country
- US
- Mailing Phone
- (585) 544-4000
- Mailing Fax
- (585) 544-4440
- Practice Street Address
- 1335 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2706
- Practice Country
- US
- Practice Phone
- (585) 544-4000
- Practice Fax
- (585) 544-4440
- Enumeration Date
- December 18, 2006
- Last Updated
- September 13, 2011
- 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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Skilled Nursing Facility (314000000X)
- Other Identifiers
- 182720CI (NY, Preferred Care), 00355555 (NY)