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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOSSOM MANOR LLC
NPI 1750119939
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Humble, TX

Active since July 22, 2024
3207 HAYDEN SPRINGS CT, HUMBLE, TX 77396(832) 579-4545 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Aug 11, 2024, Jul 22, 2024 (3 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 1750119939) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Humble, Texas and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Humble and lists Crashonda Rena Dewalt, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1750119939
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBLOSSOM MANOR LLC
Location Address3207 HAYDEN SPRINGS CTHumble, TX 77396-3097
Mailing Address3207 Hayden Springs CtHumble, TX 77396-3097 · (832) 579-4545
Phone(832) 579-4545
Organization SubpartNo
Authorized OfficialCrashonda Rena DewaltProgram Manager · (832) 579-4545
Enumeration DateJuly 22, 2024
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1750119939 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.
3207 HAYDEN SPRINGS CT, Humble, TX 77396
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Secondary Practice Location 1

Location 12607 Killdeer LnHumble, TX 77396-1827 · Phone (281) 570-6257 · Fax (832) 678-5119

Other Providers at the Same Location NPPES

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

JOSIES REFUGE INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3207 HAYDEN SPRINGS CT
HUMBLE, TX 77396
Harris County (832) 579-4545

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 1750119939. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Blossom Manor LLC located?

Blossom Manor LLC is located at 3207 Hayden Springs Ct, Humble, TX 77396. The listed phone number is (832) 579-4545.

What is Blossom Manor 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 Manor LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.