| Organization Name: | BLOSSOM CARE HOSPICE INC |
| NPI Number: | 1518344993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID HAYRAPETYAN (CEO) |
| Mailing Address: | 11030 Arrow Rte Ste 210 Rancho Cucamonga |
| State: | CA US |
| Postal Code: | 917304837 |
| Phone Number: | 9094667555 |
| Fax Number: | 9094667444 |
| NPI Enumeration Date: | 05/05/2015 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |