P Praxis·MD
● Active Type 2 · Organization

Blossom Manor Llc

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Humble, TX· NPI 1750119939 · Enumerated 2024 · 1 years on NPI
Blossom Manor Llc is 1 of 1496 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Texas.
NPI age
1 years
Enumerated 2024-07-22
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Dewalt
Staff End User/ Program Provider
Last NPPES update
2024-08-11
Source: monthly bulk 2026-05

How this organization compares

Across 1496 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Texas.

NPI age
1 years
↓ 7 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
3207 Hayden Springs Ct
Humble, TX 773963097
📞 8325794545
Mailing address
3207 Hayden Springs Ct
Humble, TX 773963097
📞 8325794545

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2607 Killdeer Ln
Humble, TX 773961827
📞 2815706257fax 8326785119

Authorized official

Crashonda R Dewalt, RN
Staff End User/ Program Provider
📞 8325794545

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    taxonomy 320900000X

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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