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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOSSOM LANE HOME CARE SERVICES LLC
NPI 1710812987
Custodial Care Facility - Adult Care Home in South Bend, IN

Active since June 17, 2026
51562 DURANGO CT, SOUTH BEND, IN 46628(574) 355-3333 Get Directions Write a Review

NPPES record added: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blossom Lane Home Care Services Llc NPPES

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

BLOSSOM LANE HOME CARE SERVICES LLC (NPI 1710812987) is a healthcare organization registered as an adult care home in South Bend, Indiana and active in the NPI registry since June 2026. The organization lists Gladys Marondera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710812987
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBLOSSOM LANE HOME CARE SERVICES LLC
Location Address51562 DURANGO CTSouth Bend, IN 46628-8446
Mailing Address51562 Durango CtSouth Bend, IN 46628-8446 · (574) 355-3333
Phone(574) 355-3333
Organization SubpartNo
Authorized OfficialGladys MaronderaCeo · (574) 355-3333
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1710812987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
51562 DURANGO CT, South Bend, IN 46628
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Other Providers at the Same Location NPPES

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

JACKLINE WANGUI MBURU
Registered Nurse
51562 DURANGO CT
SOUTH BEND, IN 46628
St. Joseph County (574) 355-3431

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 Lane Home Care Services LLC's NPI number?

The NPI number for Blossom Lane Home Care Services LLC is 1710812987. It was assigned to this organization in the NPPES registry on June 17, 2026.

Where is Blossom Lane Home Care Services LLC located?

Blossom Lane Home Care Services LLC is located at 51562 Durango Ct, South Bend, IN 46628. The listed phone number is (574) 355-3333.

What is Blossom Lane Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Blossom Lane Home Care Services LLC was last updated on June 17, 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.