OrganizationActive
Blossom Wellness LLC
NPI 1164289690 · Clinic/Center · Oakdale, MN
Blossom Wellness LLC is a Clinic/Center organization in Oakdale, MN (NPI 1164289690).
Provider details
- NPI number
- 1164289690
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elvis Starllone, Owner(651) 410-7955
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 Hayward Ave N
Oakdale, MN 55128-7127
Phone: (651) 410-7955
Street-level locationGet directions
Mailing address
625 Hayward Ave N
Oakdale, MN 55128-7127
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is Blossom Wellness LLC's NPI number?
- Blossom Wellness LLC's National Provider Identifier (NPI) is 1164289690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Wellness LLC?
- Blossom Wellness LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blossom Wellness LLC located?
- Blossom Wellness LLC's practice location on file with NPPES is 625 Hayward Ave N, Oakdale, MN 55128-7127.
- What is Blossom Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Wellness LLC is (651) 410-7955.
- Who is the authorized official for Blossom Wellness LLC?
- The authorized official listed on Blossom Wellness LLC's NPPES record is Elvis Starllone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Wellness LLC's NPI active?
- Yes — Blossom Wellness LLC's NPI (1164289690) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.