Provider Type Icon

BLOSSOM NORTH LLC NPI 1760545362


NPI Information

NPI: 1760545362
Provider Name: BLOSSOM NORTH, LLC

Doing Business As: BLOSSOM NORTH NURSING AND REHABILITATION CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
1335 PORTLAND AVE
ROCHESTER, NY
ZIP 14621
Phone: (585) 544-4000
Get Directions

BLOSSOM NORTH, LLC is a skilled nursing facility in Rochester, NY. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. BLOSSOM NORTH, LLC NPI is 1760545362. The provider is registered as an organization entity type.
The provider Is Doing Business As Blossom North Nursing And Rehabilitation Center.

The provider's business location address is:

1335 PORTLAND AVE
ROCHESTER, NY
ZIP 14621-706
Phone: (585) 544-4000
Fax: (585) 544-4440

The provider's authorized official is Gerald J Wood .
The authorized official title is Operator and has the following contact phone number (516) 679-1500.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility2701356NNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1335439001MEDICARE OSCAR/CERTIFICATIONNEW YORK
200355555MEDICAIDNEW YORK
3182720CIOTHERNEW YORKPREFERRED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.