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BLOSSOM WELL
NPI 1750122198
Early Intervention Provider Agency in Chicago, IL

Active since May 31, 2024
142 W 62ND ST, CHICAGO, IL 60621(708) 632-1090 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossom Well NPPES

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

BLOSSOM WELL (NPI 1750122198) is a healthcare organization registered as an early intervention provider agency in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Tiffany Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1750122198
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameBLOSSOM WELL
Location Address142 W 62ND STChicago, IL 60621-3809
Mailing Address4193 W Crestline StChicago, IL 60652-2923 · (708) 632-1090
Phone(708) 632-1090
Organization SubpartNo
Authorized OfficialTiffany LewisOwner · (708) 632-1090
Enumeration DateMay 31, 2024
Last NPPES UpdateJuly 6, 2024
NPPES CertifiedJuly 6, 2024
✔ NPI 1750122198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInterpreterTaxonomy 171R00000X
142 W 62ND ST, Chicago, IL 60621
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

ASHLEY CORBETT
Counselor
142 W 62ND ST
CHICAGO, IL 60621
Cook County (219) 384-3339
SHRIYA GANDHI-KAMAT
Counselor (Mental Health)
142 W 62ND ST
CHICAGO, IL 60621
Cook County (303) 521-8657
RANOSHA HALL LSW
Social Worker
142 W 62ND ST
CHICAGO, IL 60621
Cook County (217) 208-1446

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 Well's NPI number?

The NPI number for Blossom Well is 1750122198. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Blossom Well located?

Blossom Well is located at 142 W 62nd St, Chicago, IL 60621. The listed phone number is (708) 632-1090.

What is Blossom Well's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Blossom Well was last updated on July 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.