- Practice location
- 3051 Whiteside RD, Macon, GA 31216-6209
- Phone
- 478-347-2400
- Fax
- —
- Last updated
- September 16, 2025
Blossom Healthcare LLC is a healthcare organization based in Macon, GA. Blossom Healthcare LLC practices in Macon, GA. The NPI Number for Blossom Healthcare LLC is 1083585608. The current practice location address for Blossom Healthcare LLC is 3051 Whiteside RD, Macon, GA 31216-6209 and can be reached out via phone at 478-347-2400.
Provider Profile Details
- NPI Number
- 1083585608
- Provider Name
- Blossom Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 3051 Whiteside RD, Macon, GA 31216-6209
- Phone Number
- 478-347-2400
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Simcha Z Krohn · Member Of LLC · 732-664-4836
- Other Names
- Blossom Healthcare & Rehabilitation Center (Doing Business As)
- Provider Enumeration Date
- September 16, 2025
- Last Update Date
- September 16, 2025
- Certification Date
- September 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3051 Whiteside RD
Macon, GA 31216-6209 - City
- Macon
- State
- Georgia
- Zip
- 31216-6209
- Phone Number
- 478-347-2400
Provider Business Mailing Address Details
- Address
- 26 Birch St
Lakewood, NJ 08701-4701 - City
- Lakewood
- State
- NJ
- Zip
- 08701-4701
- Phone Number
- 516-295-3294
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blossom Healthcare LLC?
The NPI number of Blossom Healthcare LLC is 1083585608. It was assigned on September 16, 2025 and is currently active in the NPPES registry.
What is the specialty of Blossom Healthcare LLC?
Blossom Healthcare LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does Blossom Healthcare LLC practice?
The practice location is 3051 Whiteside RD, Macon, GA 31216-6209. The office can be reached at 478-347-2400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083585608 directly on the NPPES registry website.