Provider Demographics
NPI:1588473458
Name:BLOSSOM HILL INC.
Entity type:Organization
Organization Name:BLOSSOM HILL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-579-2483
Mailing Address - Street 1:28700 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5213
Mailing Address - Country:US
Mailing Address - Phone:440-892-2042
Mailing Address - Fax:440-892-7768
Practice Address - Street 1:28700 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5213
Practice Address - Country:US
Practice Address - Phone:440-892-2042
Practice Address - Fax:440-892-7768
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLOSSOM HILL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities