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NPI Code Detail

MEDICARE: ORION BLOSSOM LLC

MEDICARE: ORION BLOSSOM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801087986
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORION BLOSSOM LLC
Provider Business Mailing Address
First Line : 1 EASTON OVAL STE 300
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6062
Country : US
Telephone Number : 614-416-0600
Fax Number :
Provider Business Practice Location Address
First Line : 109 BLOSSOM LN
Second Line :
City : SALEM
State : OH
Zip : 44460-4284
Country : US
Telephone Number : 330-337-3033
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DONALD D. FINNEY
Credential :
Telephone Number : 614-416-0600
Provider Enumeration Date : 08/05/2007
Last Update Date : 12/13/2007

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