BLOSSOM HOMES LLC NPI 1164349585

NPI Information

  • NPI: 1164349585
  • Provider Name: BLOSSOM HOMES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2482 SW SUMMIT ST
    PORT ST LUCIE, FL
    ZIP 34984
  • Phone: (954) 395-8198

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NPI Details

BLOSSOM HOMES LLC is an assisted living facility in Port St Lucie, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BLOSSOM HOMES LLC NPI is 1164349585. The provider is registered as an organization entity type.

The provider's business location address is:

2482 SW SUMMIT ST
PORT ST LUCIE, FL
ZIP 34984-067
Phone: (954) 395-8198

The provider's authorized official is Jasmin Martin .
The authorized official title is Administration and has the following contact phone number (954) 695-8198.

The enumeration date for this NPI number is 7/6/2026 and was last updated on 7/6/2026.

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
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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