OrganizationActive
Blossom Healthcare Services LLC
NPI 1215769005 · Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1215769005
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yahye Takal, Owner(651) 302-9281
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1875 Plaza Dr Ste 12c
Saint Paul, MN 55122-2613
Phone: (651) 302-9281
Street-level locationGet directions
Mailing address
1875 Plaza Dr Ste 12c
Saint Paul, MN 55122-2613
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.