Blossom Hill Corporation

LBN: Blossom Hill Corporation
Blossom Hill Corporation is an health care organization with primary practice located at 100 Oak Ave Sw , Montgomery MN 56069-1243. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Nursing & Custodial Care Facilities / Assisted Living Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Blossom Hill Corporation can be contacted via phone (507) 364-5312, or through Beulke, Paula Marie via phone (507) 364-5312.

Contact Information

Primary practice address
100 Oak Ave Sw Montgomery MN 56069-1243
Phone: (507) 364-5312
Fax: (507) 364-5908
Website:
Map and Directions
Authorized official contact:
Name: Beulke, Paula Marie
Phone: (507) 364-5312

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1072342-1-HCBS Minnesota
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1072346-1-H Minnesota
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 1044272-1-AFC Minnesota

Profile Details

NPI number 1932240314
LBN Legal business name Blossom Hill Corporation
DBA Doing business as
Authorized official Beulke, Paula Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932240314 NPPES
Minnesota MEDICAID 231653100
Minnesota Other 953485000

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