Provider Demographics
NPI:1093430498
Name:BLOSSOM CARING SOLUTIONS INC
Entity type:Organization
Organization Name:BLOSSOM CARING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:TINEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-455-3927
Mailing Address - Street 1:229 BILLERICA RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3631
Mailing Address - Country:US
Mailing Address - Phone:978-455-3927
Mailing Address - Fax:
Practice Address - Street 1:229 BILLERICA RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3631
Practice Address - Country:US
Practice Address - Phone:978-455-3927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency