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BLOSSOM MANOR LLC
NPI 1548036759
Assisted Living Facility in Humble, TX

Active since November 29, 2023
2607 KILLDEER LN, HUMBLE, TX 77396(281) 570-6257(832) 678-5119 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2024, Feb 5, 2024 (2 updates tracked since 2024).

About Blossom Manor Llc NPPES

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

BLOSSOM MANOR LLC (NPI 1548036759) is a healthcare organization registered as an assisted living facility in Humble, Texas and active in the NPI registry since November 2023. The organization lists Crashonda Rena Dewalt, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1548036759
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLOSSOM MANOR LLC
Location Address2607 KILLDEER LNHumble, TX 77396-1827
Mailing Address3207 Hayden Springs CtHumble, TX 77396-3097 · (832) 579-4545 · Fax (832) 678-5119
Phone(281) 570-6257
Fax(832) 678-5119
Organization SubpartNo
Authorized OfficialCrashonda Rena DewaltProgram Manager · (832) 579-4545
Enumeration DateNovember 29, 2023
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1548036759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
2607 KILLDEER LN, Humble, TX 77396
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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 Manor LLC's NPI number?

The NPI number for Blossom Manor LLC is 1548036759. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Blossom Manor LLC located?

Blossom Manor LLC is located at 2607 Killdeer Ln, Humble, TX 77396. The listed phone number is (281) 570-6257.

What is Blossom Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Blossom Manor LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.