Organization · Type 2 NPI
Blossom Lane Home Care Services LLC
Adult Care Home Facility · South Bend, IN
NPI number
1710812987
Active
Practice location
51562 Durango Ct
South Bend, IN 46628-8446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
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About NPI 1710812987
Blossom Lane Home Care Services LLC's National Provider Identifier is 1710812987, issued on Jun 17, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in South Bend, IN. The record was last updated on Jun 17, 2026.