Healthcare Provider Details

I. General information

NPI: 1093430498
Provider Name (Legal Business Name): BLOSSOM CARING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 BILLERICA RD
CHELMSFORD MA
01824-3631
US

IV. Provider business mailing address

229 BILLERICA RD
CHELMSFORD MA
01824-3631
US

V. Phone/Fax

Practice location:
  • Phone: 978-455-3927
  • Fax:
Mailing address:
  • Phone: 978-455-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: WILFRED TINEGA
Title or Position: CEO
Credential:
Phone: 978-455-3927