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

Blossoms Assisted Living 1, LLC

Organization Assisted Living Facility · NPI 1588051528

Blossoms Assisted Living 1, LLC is an Assisted Living Facility in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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

1799 Sereno Dr
Davenport, FL 33896-8603
Phone: (863) 420-1463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 10287 (FL)

Record details

NPI number1588051528
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlossoms Support Services LLC
Authorized official Paul Sturdgess Hayes — Administrator · (386) 257-2162
NPI enumeratedApril 16, 2015
Last updated in NPPESApril 16, 2015
Mailing address1312 Mardrake Rd, Daytona Beach, FL 32114-5940

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