Blossom Manor LLC
NPI 1750119939 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Humble, TX
Blossom Manor LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Humble, TX (NPI 1750119939).
Provider details
- NPI number
- 1750119939
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Crashonda Dewalt, Staff End User/ Program Provider(832) 579-4545
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2607 Killdeer LnHumble, TX 77396-1827Phone: (281) 570-6257Fax: (832) 678-5119
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-08-11
- Certified
- 2024-08-11
Frequently asked questions
- What is Blossom Manor LLC's NPI number?
- Blossom Manor LLC's National Provider Identifier (NPI) is 1750119939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Manor LLC?
- Blossom Manor LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Blossom Manor LLC located?
- Blossom Manor LLC's practice location on file with NPPES is 3207 Hayden Springs Ct, Humble, TX 77396-3097.
- What is Blossom Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Manor LLC is (832) 579-4545.
- Who is the authorized official for Blossom Manor LLC?
- The authorized official listed on Blossom Manor LLC's NPPES record is Crashonda Dewalt, Staff End User/ Program Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Manor LLC's NPI active?
- Yes — Blossom Manor LLC's NPI (1750119939) is active in the NPPES registry as of the last update on 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.