WHITE BLOSSOM CARE CENTER
NPI 1720024391
Skilled Nursing Facility in San Jose, CA

Active since June 21, 2006CLIA 05D0608541 · Waiver
2/5
Overall Rating
1990 FRUITDALE AVE, SAN JOSE, CA 95128(408) 998-8447(408) 288-9812 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Aug 6, 2024 (2 updates tracked since 2024).

About White Blossom Care Center NPPES

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

WHITE BLOSSOM CARE CENTER (NPI 1720024391) is a healthcare organization registered as a skilled nursing facility in San Jose, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1720024391
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAWTHORNE HOLDINGS, LLC
Location Address1990 FRUITDALE AVESan Jose, CA 95128-2709
Mailing Address262 N University AveFarmington, UT 84025-2975
Fax(408) 288-9812
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1720024391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 070000120
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1990 FRUITDALE AVE, San Jose, CA 95128

Other Names 1

Doing Business AsWhite Blossom Care Center

Other Identifiers 2

Medicaid1720024391CA
MedicaidZZR55068ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0608541

White Blossom Care Center · San Jose, CA
Active · expires Aug 31, 2026
CLIA Number05D0608541
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMehran Jamali
Laboratory Phone(408) 998-8447
Laboratory LocationWhite Blossom Care Center1990 Fruitdale Ave, San Jose, CA 95128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for White Blossom Care Center (CMS certification number 555068), from CMS Care Compare.

White Blossom Care Center

Nursing home · San Jose, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number555068
Certified Beds153 beds147 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1977
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
173.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.42 · LPN 1.25 · RN 0.44
4.12 hrs per resident per day
Weekend Nurse Staffing
3.52 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.5%
Registered Nurse Turnover
62.5%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
6
Substantiated Complaints
13
Infection-Control Citations
0
Fines
2 totaling $88,427.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Internal Medicine
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Occupational Therapist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Nursing Care
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Speech-Language Pathologist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Occupational Therapist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Physical Therapy Assistant
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Speech-Language Pathologist
1990 FRUITDALE AVE
SAN JOSE, CA 95128

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 Hawthorne Holdings, LLC's NPI number?

The NPI number for Hawthorne Holdings, LLC is 1720024391. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as White Blossom Care Center.

Where is Hawthorne Holdings, LLC located?

Hawthorne Holdings, LLC is located at 1990 Fruitdale Ave, San Jose, CA 95128. The listed phone number is (408) 998-8447.

What is Hawthorne Holdings, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Hawthorne Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0608541) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hawthorne Holdings, LLC a Medicare-certified nursing home?

Yes. White Blossom Care Center is a Medicare-certified nursing home with 153 certified beds.

What quality rating does Hawthorne Holdings, LLC have?

CMS rates White Blossom Care Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Hawthorne Holdings, LLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.