National Provider Identifier

Blossom North

Blossom North is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility in Rochester, NY and a listed phone number of (585) 544-5000.

NPI 1912228271Rochester, NYSkilled Nursing Facility

Source: public NPPES record, last updated June 21, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1912228271
Provider Type
Organization
Primary Specialty
Skilled Nursing Facility
Enumeration Date
June 21, 2010
Last Updated
June 21, 2010

Practice Location

  • 1335 Portland Ave
  • Rochester, NY 14621-2706

Phone: (585) 544-5000

Mailing Address

  • 1335 Portland Avenue
  • Rochester, NY 14621

Authorized Official

Name
MS. Jacquelyn L Sick
Title
Nurse Practitioner
Credentials
NURSE PRACTITIONER
Phone
(585) 544-4000

Specialties

  • Skilled Nursing Facility (314000000X)

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Organization Overview

Blossom North is the Rochester, New York skilled nursing facility known as Blossom North Nursing and Rehabilitation Center. The facility describes itself as a 120-bed nursing home offering long-term nursing care and short-term rehabilitation, with on-site medical staff available seven days a week and a therapy gym for resident mobility work. A federal appellate decision notes that Blossom North acquired the former Jennifer Matthew Nursing and Rehabilitation Center facility in 2006 and renamed it Blossom North Nursing & Rehabilitation Center.

Full Record
NPI
1912228271
Entity Type
Organization
Organization Name
Blossom North
Provider Other Organization Name Type Code
6
Mailing Street Address
1335 Portland Avenue
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 544-4000
Practice Street Address
1335 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2706
Practice Country
US
Practice Phone
(585) 544-5000
Enumeration Date
June 21, 2010
Last Updated
June 21, 2010
Authorized Official Last Name
Sick
Authorized Official First Name
Jacquelyn
Authorized Official Middle Name
L
Authorized Official Title
Nurse Practitioner
Authorized Official Phone
(585) 544-4000
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
Authorized Official Credential Text
NURSE PRACTITIONER
Taxonomies
Skilled Nursing Facility (314000000X)