BLOSSOM GROUPS CORPORATION NPI 1457497232

NPI Information

  • NPI: 1457497232
  • Provider Name: BLOSSOM GROUPS CORPORATION
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 45D1041564
  • Address: 12959 JUPITER RD
    #253
    DALLAS, TX
    ZIP 75238
  • Phone: (469) 906-6359

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NPI Details

BLOSSOM GROUPS CORPORATION is a home health in Dallas, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BLOSSOM GROUPS CORPORATION NPI is 1457497232. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

12959 JUPITER RD
#253
DALLAS, TX
ZIP 75238-223
Phone: (469) 906-6359
Fax: (469) 906-6385

The provider's authorized official is Ukachi Akogu .
The authorized official title is Rn and has the following contact phone number (469) 906-6359.

The CLIA number assigned to this NPI record is 45D1041564 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 3/12/2025.

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
1251E00000XHome HealthYes
2251J00000XNursing CareNo
3372500000XChore ProviderNo
4372600000XAdult CompanionNo
53747A0650XTechnicianAttendant Care ProviderNo
63747P1801XTechnicianPersonal Care AttendantNo
7374U00000XHome Health AideNo
8376J00000XHomemakerNo
9385H00000XRespite CareNo

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
12130882MEDICAIDTEXAS

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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