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BLOSSOM CHILDREN'S CENTER-BRIGHTON
NPI 1104585421
Community/Behavioral Health in Brighton, MI

Active since December 14, 2021
8175 MOVIE DR, BRIGHTON, MI 48116(248) 277-3005(248) 277-3050 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2022, Dec 14, 2021 (2 updates tracked since 2021).

About Blossom Children's Center-brighton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM CHILDREN'S CENTER-BRIGHTON (NPI 1104585421) is a healthcare organization registered as a community/behavioral health in Brighton, Michigan and active in the NPI registry since December 2021. The organization lists Ziad Koza, Owner, as its authorized official.

NPPES Registry Identity

NPI1104585421
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBWC BRIGHTON LLC
Location Address8175 MOVIE DRBrighton, MI 48116-7444
Mailing Address8175 Movie DrBrighton, MI 48116-7444 · (248) 277-3005
Phone(248) 277-3005
Fax(248) 277-3050
Organization SubpartNo
Authorized OfficialZiad KozaOwner · (248) 860-6212
Enumeration DateDecember 14, 2021
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1104585421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
8175 MOVIE DR, Brighton, MI 48116
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Other Names 1

Doing Business AsBlossom Children's Center-brighton

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blossom Children's Center-brighton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blossom Children's Center-Brighton, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Kadian, CF-SLP
Qualified Speech Language Pathologist
NPI 1891589065
8175 MOVIE DR
Brighton, MI 48116
(248) 277-3005
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bwc Brighton LLC's NPI number?

The NPI number for Bwc Brighton LLC is 1104585421. It was assigned to this organization in the NPPES registry on December 14, 2021. The provider is doing business as Blossom Children's Center-Brighton.

Where is Bwc Brighton LLC located?

Bwc Brighton LLC is located at 8175 Movie Dr, Brighton, MI 48116. The listed phone number is (248) 277-3005.

What is Bwc Brighton LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Bwc Brighton LLC enrolled in Medicare?

Yes. Bwc Brighton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bwc Brighton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Bwc Brighton LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bwc Brighton LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bwc Brighton LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bwc Brighton LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.