BLOSSOM VIEW NURSING HOME NPI 1053600841

NPI Information

NPI: 1053600841
Provider Name: BLOSSOM VIEW NURSING HOME

Other Name: BLOSSOM VIEW OUTPATIENT THERAPY CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
47 MAPLE AVE
SUITE 300
SODUS, NY
ZIP 14551
Phone: (315) 483-2000
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BLOSSOM VIEW NURSING HOME is a rehabilitation clinic center in Sodus, NY. BLOSSOM VIEW NURSING HOME NPI is 1053600841. The provider is registered as an organization entity type.
The provider Other Name Is Blossom View Outpatient Therapy Center.

The provider's business location address is:

47 MAPLE AVE
SUITE 300
SODUS, NY
ZIP 14551-057
Phone: (315) 483-2000
Fax: (315) 483-6805

The provider's authorized official is Chari Carr .
The authorized official title is Manager and has the following contact phone number (315) 483-2000.

The enumeration date for this NPI number is 4/1/2011 and was last updated on 4/1/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	5828301N	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00997604	MEDICAID	NEW YORK
2	335378	MEDICARE OSCAR/CERTIFICATION	NEW YORK
3	5828301N	OTHER	NEW YORK	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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