BLOSSOM RIDGE LONG TERM CARE FACILITY
NPI 1316306970
Skilled Nursing Facility in Elk Grove, CA
About Blossom Ridge Long Term Care Facility NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM RIDGE LONG TERM CARE FACILITY (NPI 1316306970) is a healthcare organization registered as a skilled nursing facility in Elk Grove, California and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Janet Agustin, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2110359
Blossom Ridge Long Term Care Facility · Elk Grove, CAFrequently 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 Ridge Long Term Care Corporation's NPI number?
The NPI number for Blossom Ridge Long Term Care Corporation is 1316306970. It was assigned to this organization in the NPPES registry on February 11, 2016. The provider is doing business as Blossom Ridge Long Term Care Facility.
Where is Blossom Ridge Long Term Care Corporation located?
Blossom Ridge Long Term Care Corporation is located at 10143 Blossom Ridge Dr, Elk Grove, CA 95757. The listed phone number is (916) 284-4129.
What is Blossom Ridge Long Term Care Corporation's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Blossom Ridge Long Term Care Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2110359) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Blossom Ridge Long Term Care Corporation was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.