Organization
BLOSSOM GROUPS CORPORATION
Active
Other names
Blossom Home Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
UKACHI AKOGU ADMINISTRATOR (RN)
(469) 906-6359
Entity
Organization
Contact information
Practice address
12959 JUPITER RD, #253, DALLAS, TX 75238-5223
(469) 906-6359
(469) 906-6385
Mailing address
12959 JUPITER RD, #253, DALLAS, TX 75238-5223
(469) 906-6359
(469) 906-6385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130882
—
TX
Enumeration date
01/29/2007
Last updated
03/12/2025
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