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BLOSSOM HEALTHCARE SERVICES LLC
NPI 1215769005
Clinic/Center in Saint Paul, MN

Active since August 19, 2024
1875 PLAZA DR STE 12C, SAINT PAUL, MN 55122(651) 302-9281 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blossom Healthcare Services Llc NPPES

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

BLOSSOM HEALTHCARE SERVICES LLC (NPI 1215769005) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since August 2024. The organization lists Yahye Mohamed Takal, Owner, as its authorized official.

NPPES Registry Identity

NPI1215769005
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLOSSOM HEALTHCARE SERVICES LLC
Location Address1875 PLAZA DR STE 12CSaint Paul, MN 55122-2613
Mailing Address1875 Plaza Dr Ste 12cSaint Paul, MN 55122-2613 · (651) 302-9281
Phone(651) 302-9281
Organization SubpartNo
Authorized OfficialYahye Mohamed TakalOwner · (651) 302-9281
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1215769005 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).
1875 PLAZA DR STE 12C, Saint Paul, MN 55122
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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 Healthcare Services LLC's NPI number?

The NPI number for Blossom Healthcare Services LLC is 1215769005. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Blossom Healthcare Services LLC located?

Blossom Healthcare Services LLC is located at 1875 Plaza Dr Ste 12C, Saint Paul, MN 55122. The listed phone number is (651) 302-9281.

What is Blossom Healthcare Services 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 Healthcare Services LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.