NPI 1710812987

Blossom Lane Home Care Services LLC

Organisation Adult Care Home Facility South Bend, IN

Practice location

Address: 51562 Durango CT, South Bend, IN 46628-8446
Phone: (574) 355-3333

Authorised official

Name: Gladys Marondera
Title: Ceo
Phone: (574) 355-3333

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Indiana →

Registry record

NPI: 1710812987
Entity type: Organization
NPI issued: 17 Jun 2026
Record last updated: 17 Jun 2026

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.