NPI 1083585608

Blossom Healthcare LLC

Organisation Skilled Nursing Facility Macon, GA

Practice location

Address: 3051 Whiteside Rd, Macon, GA 31216-6209
Phone: (478) 347-2400
Mailing address: 26 Birch St, Lakewood, NJ 08701-4701

Authorised official

Name: Simcha Z Krohn
Title: Member of LLC
Phone: (732) 664-4836

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Georgia →

Registry record

NPI: 1083585608
Entity type: Organization
NPI issued: 16 Sep 2025
Record last updated: 16 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.