OrganizationActive
Blossom Manor LLC
NPI 1548036759 · Assisted Living Facility · Ln Humble, TX
Provider details
- NPI number
- 1548036759
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Crashonda Dewalt, Registered Nurse/Owner(832) 579-4545
Specialties & taxonomies
Nursing & Custodial 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
2607 Killdeer
Ln Humble, TX 77396
Phone: (281) 570-6257
Fax: (832) 678-5119
Street-level locationGet directions
Mailing address
3207 Hayden Springs Ct
Humble, TX 77396-3097
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2024-08-11
- Certified
- 2024-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.