Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blossom Healthcare Services LLC

Organization Clinic/Center · NPI 1215769005

Blossom Healthcare Services LLC is a Clinic/Center in Saint Paul, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1875 Plaza Dr Ste 12C
Saint Paul, MN 55122-2613
Phone: (651) 302-9281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1215769005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yahye Takal — Owner · (651) 302-9281
NPI enumeratedAugust 19, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address1875 Plaza Dr Ste 12c, Saint Paul, MN 55122-2613

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