Organization
BLOSSOM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN BRACHFELD (OWNER)
(917) 733-8868
Entity
Organization
Contact information
Practice address
2613 21ST ST, ASTORIA, NY 11102-3544
(718) 732-0100
(718) 873-2095
Mailing address
2613 21ST ST, ASTORIA, NY 11102-3544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1977L001
—
NY
Enumeration date
07/16/2020
Last updated
07/16/2020
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