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

Active since October 10, 2024
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028(623) 267-4479(623) 624-7304 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2025, Nov 4, 2024, Oct 10, 2024 (3 updates tracked since 2024).

About Blossom Healthcare Llc NPPES

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

BLOSSOM HEALTHCARE LLC (NPI 1508685009) is a healthcare organization registered as an in home supportive care in Phoenix, Arizona and active in the NPI registry since October 2024. The organization lists Arnesha Bullock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508685009
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameBLOSSOM HEALTHCARE LLC
Location Address11201 N TATUM BLVD STE 300Phoenix, AZ 85028-6039
Mailing Address11201 N Tatum Blvd Ste 300Phoenix, AZ 85028-6039 · (623) 267-4479 · Fax (623) 624-7304
Phone(623) 267-4479
Fax(623) 624-7304
Organization SubpartNo
Authorized OfficialArnesha BullockCeo · (623) 267-4479
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1508685009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition

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.

Also ListedHome HealthTaxonomy 251E00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
11201 N TATUM BLVD STE 300, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 18

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

MRS. JESSICA MAE MOODY PHYSICIAN ASSISTANT
Physician Assistant (Medical)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 900-3556
THERESA TIMONY NURSING INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (760) 498-4749
DOCTOR ON CALL CORP
General Practice
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 900-3556
MEGAN WALKER ALLIGOOD NP
Nurse Practitioner
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (510) 529-7768
PEDROSO PSYCHOLOGICAL SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 310-8090
CAROLYN JAEDECKE
Counselor
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (602) 704-4796
COMPASSION CARE, INC.
Private Vehicle
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (844) 422-6368
DEVOTION HOME HEALTH CARE, LLC
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (602) 908-7430

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 LLC's NPI number?

The NPI number for Blossom Healthcare LLC is 1508685009. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Blossom Healthcare LLC located?

Blossom Healthcare LLC is located at 11201 N Tatum Blvd Ste 300, Phoenix, AZ 85028. The listed phone number is (623) 267-4479.

What is Blossom Healthcare LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Blossom Healthcare LLC was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.