Healthcare Provider Details

I. General information

NPI: 1922913508
Provider Name (Legal Business Name): BLOSSOM BRIDGE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 22804
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 22804
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 419-376-6153
  • Fax:
Mailing address:
  • Phone: 419-376-6153
  • 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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PAIGE WILLIAMS
Title or Position: CEO
Credential:
Phone: 419-376-6153