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

Blossom Ridge Long Term Care Corporation

Organization Skilled Nursing Facility · NPI 1316306970

Blossom Ridge Long Term Care Corporation is a Skilled Nursing Facility in Elk Grove, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

10143 Blossom Ridge Dr
Elk Grove, CA 95757-2512
Phone: (916) 284-4129
Fax: (916) 647-3425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1316306970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Agustin — Administrator · (916) 284-4129
Other names Blossom Ridge Long Term Care Facility
NPI enumeratedFebruary 11, 2016
Last updated in NPPESFebruary 11, 2016
Mailing address10143 Blossom Ridge Dr, Elk Grove, CA 95757-2512

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