BLOSSOMS ASSISTED LIVING 1, LLC
NPI 1588051528
Assisted Living Facility in Davenport, FL

Q: What is Blossoms Assisted Living 1, LLC's NPI number?

The NPI number for Blossoms Assisted Living 1, LLC is 1588051528. It was assigned to this organization in the NPPES registry on April 16, 2015.

Q: What is Blossoms Assisted Living 1, LLC's specialty?

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

Active since April 16, 2015

1799 SERENO DR, DAVENPORT, FL 33896(863) 420-1463 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blossoms Assisted Living 1, Llc NPPES

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

BLOSSOMS ASSISTED LIVING 1, LLC (NPI 1588051528) is a healthcare organization registered as an assisted living facility in Davenport, Florida and active in the NPI registry since April 2015. The organization lists Paul Sturdgess Hayes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588051528

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBLOSSOMS ASSISTED LIVING 1, LLC

Location Address1799 SERENO DRDavenport, FL 33896-8603

Mailing Address1312 Mardrake RdDaytona Beach, FL 32114-5940 · (386) 257-2162 · Fax (386) 257-2162

Phone(863) 420-1463

Organization SubpartYesParent: Blossoms Support Services Llc

Authorized OfficialPaul Sturdgess HayesAdministrator · (386) 257-2162

Enumeration DateApril 16, 2015

✔ NPI 1588051528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · 10287

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.

1799 SERENO DR, Davenport, FL 33896

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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 Blossoms Assisted Living 1, LLC's NPI number?

The NPI number for Blossoms Assisted Living 1, LLC is 1588051528. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Blossoms Assisted Living 1, LLC located?

Blossoms Assisted Living 1, LLC is located at 1799 Sereno Dr, Davenport, FL 33896. The listed phone number is (863) 420-1463.

What is Blossoms Assisted Living 1, 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 Blossoms Assisted Living 1, LLC was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.