BLOSSOM HEALTHCARE LLC
NPI 1508685009
In Home Supportive Care in Phoenix, AZ

NPI Status: Active since October 10, 2024

Contact Information

11201 N TATUM BLVD STE 300
PHOENIX, AZ
ZIP 85028
Phone: (623) 267-4479
Fax: (623) 624-7304

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  • Organization
  • In Home Supportive Care

About BLOSSOM HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Blossom Healthcare Llc, a provider established in Phoenix, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1508685009 assigned on October 2024. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Arnesha Bullock (Ceo)

NPI
1508685009
Provider Name
BLOSSOM HEALTHCARE LLC
Entity Type
Organization
Location Address
11201 N TATUM BLVD STE 300 PHOENIX, AZ 85028
Location Phone
(623) 267-4479
Location Fax
(623) 624-7304
Mailing Address
11201 N TATUM BLVD STE 300 PHOENIX, AZ 85028
Mailing Phone
(623) 267-4479
Mailing Fax
(623) 624-7304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2024
Last Update Date
01-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
3385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARNESHA BULLOCK

Authorized Official Title
CEO
Authorized Official Phone
(623) 267-4479

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508685009, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 2 + 8 + 1 + 0 + 0 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1508685009.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Private Vehicle
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Clinic/Center (Adult Mental Health)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Behavior Analyst
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Surgery
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Physician Assistant (Medical)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
General Practice
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Nurse Practitioner (Family)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Psychologist (Clinical)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Family Medicine
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Emergency Medicine
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Psychologist (Counseling)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Nurse Practitioner
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Counselor (Mental Health)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Counselor (Professional)
11201 N TATUM BLVD STE 300, #912020
PHOENIX, AZ 85028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508685009, enumerated as an "organization" on October 10, 2024.

The provider is located at 11201 N TATUM BLVD STE 300 PHOENIX, AZ 85028 and the phone number is (623) 267-4479.

In Home Supportive Care with taxonomy code 253Z00000X.