BLOSSOM COMMUNITY SERVICES INC
NPI 1447734181
Community/Behavioral Health in Gastonia, NC

Active since September 19, 2018
1911 WILLIMAX AVE, GASTONIA, NC 28054(704) 780-3082 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2024, Sep 20, 2024, Feb 5, 2022 and 3 more (6 updates tracked since 2018).

About Blossom Community Services Inc NPPES

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

BLOSSOM COMMUNITY SERVICES INC (NPI 1447734181) is a healthcare organization registered as a community/behavioral health in Gastonia, North Carolina and active in the NPI registry since September 2018. The organization maintains 2 additional practice locations and lists Leslie Danielle Dunbar, Owner, as its authorized official.

NPPES Registry Identity

NPI1447734181
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLOSSOM COMMUNITY SERVICES
Location Address1911 WILLIMAX AVEGastonia, NC 28054-7440
Mailing Address1911 Willimax AvenueGastonia, NC 28054-7440 · (704) 780-3082
Organization SubpartNo
Authorized OfficialLeslie Danielle DunbarOwner · (704) 780-3082
Enumeration DateSeptember 19, 2018
Last NPPES UpdateDecember 10, 20246 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1447734181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSecured Medical Transport (VAN)Taxonomy 343800000X
Also ListedTaxiTaxonomy 344600000X
Also ListedPrivate VehicleTaxonomy 347C00000X
1911 WILLIMAX AVE, Gastonia, NC 28054

Other Names 1

Doing Business AsBlossom Community Services Inc

Secondary Practice Locations 2

Location 12450 Aberdeen BlvdGastonia, NC 28054-0644 · Phone (704) 780-3082
Location 22311 Aberdeen BlvdGastonia, NC 28054-0601 · Phone (704) 780-3082

Other Identifiers 1

Medicaid1447734181NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community/Behavioral Health
1911 WILLIMAX AVE
GASTONIA, NC 28054
Community Based Residential Treatment Facility, Mental Illness
1911 WILLIMAX AVE
GASTONIA, NC 28054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447734181, enumerated as an "organization" on September 19, 2018.

The provider is located at 1911 WILLIMAX AVE GASTONIA, NC 28054 and the phone number is (704) 780-3082.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.