Blossom Manor LLC
NPI 1548036759ActiveOrganization· Assisted Living Facility· Humble, TX
Assisted Living Facility in Humble, Texas, registered in NPPES in November 2023. The authorized official on file is Crashonda Rena Dewalt, Program Manager.
Overview
| NPI | 1548036759 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2023 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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