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BLOSSOM RESIDENTIAL LLC
NPI 1518385277
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Prichard, AL

Active since March 31, 2014
548 MAIN BLVD, PRICHARD, AL 36610(251) 643-8885 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossom Residential Llc NPPES

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

BLOSSOM RESIDENTIAL LLC (NPI 1518385277) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Prichard, Alabama and active in the NPI registry since March 2014. The organization lists Crystal Eirby Black, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518385277
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBLOSSOM RESIDENTIAL LLC
Location Address548 MAIN BLVDPrichard, AL 36610-4048
Mailing AddressPo Box 774Mobile, AL 36601-0774 · (251) 643-8885
Phone(251) 643-8885
Organization SubpartNo
Authorized OfficialCrystal Eirby BlackCeo · (251) 643-8885
Enumeration DateMarch 31, 2014
✔ NPI 1518385277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
548 MAIN BLVD, Prichard, AL 36610
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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 Residential LLC's NPI number?

The NPI number for Blossom Residential LLC is 1518385277. It was assigned to this organization in the NPPES registry on March 31, 2014.

Where is Blossom Residential LLC located?

Blossom Residential LLC is located at 548 Main Blvd, Prichard, AL 36610. The listed phone number is (251) 643-8885.

What is Blossom Residential LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Blossom Residential LLC was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.