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BLOSSOM WELLNESS LLC
NPI 1164289690
Clinic/Center in Oakdale, MN

Active since March 01, 2024
625 HAYWARD AVE N, OAKDALE, MN 55128(651) 410-7955 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blossom Wellness Llc NPPES

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

BLOSSOM WELLNESS LLC (NPI 1164289690) is a healthcare organization registered as a clinic/center in Oakdale, Minnesota and active in the NPI registry since March 2024. The organization lists Elvis Tambi Starllone, Owner, as its authorized official.

NPPES Registry Identity

NPI1164289690
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLOSSOM WELLNESS LLC
Location Address625 HAYWARD AVE NOakdale, MN 55128-7127
Mailing Address625 Hayward Ave NOakdale, MN 55128-7127 · (651) 410-7955
Phone(651) 410-7955
Organization SubpartNo
Authorized OfficialElvis Tambi StarlloneOwner · (651) 410-7955
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1164289690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
625 HAYWARD AVE N, Oakdale, MN 55128
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TOU PHENG YANG MA
Counselor (Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 327-0849
JOHN HARRISON
Nurse Practitioner (Psychiatric/Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 410-7955
NGOZI MIRIAM OHAEGBULEM NP
Nurse Practitioner (Psychiatric/Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (952) 234-0943
BETTER OUTLOOK LLC
Nurse Practitioner (Psychiatric/Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 410-7955
IFRAH MOHAMUD NUR APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (612) 800-2156
ELVIS TAMBI STARLLONE APRN, PMHNP-BC, CNP
Nurse Practitioner (Psychiatric/Mental Health)
625 HAYWARD AVE N
OAKDALE, MN 55128
Washington County (651) 410-7955

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 Blossom Wellness LLC's NPI number?

The NPI number for Blossom Wellness LLC is 1164289690. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Blossom Wellness LLC located?

Blossom Wellness LLC is located at 625 Hayward Ave N, Oakdale, MN 55128. The listed phone number is (651) 410-7955.

What is Blossom Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Blossom Wellness LLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.