BLOSSOM HOME HEALTHCARE LLC NPI 1619450590

NPI Information

  • NPI: 1619450590
  • Provider Name: BLOSSOM HOME HEALTHCARE, LLC
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 46191 WESTLAKE DR STE 101
    POTOMAC FALLS, VA
    ZIP 20165
  • Phone: (571) 313-0209

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NPI Details

BLOSSOM HOME HEALTHCARE, LLC is a home health in Potomac Falls, VA. 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 HOME HEALTHCARE, LLC NPI is 1619450590. The provider is registered as an organization entity type.

The provider's business location address is:

46191 WESTLAKE DR STE 101
POTOMAC FALLS, VA
ZIP 20165-870
Phone: (571) 313-0209
Fax: (800) 491-6153

The provider's authorized official is Roda Hassan .
The authorized official title is Coo and has the following contact phone number (703) 980-2653.

The enumeration date for this NPI number is 9/7/2018 and was last updated on 7/11/2020.

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 HealthHCO-191931VIRGINIAYes

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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