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Blossom Health, LLC

Company Details

Name: Blossom Health, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 22 Jul 2020 (5 years ago)
Identification Number: 001710457
ZIP code: 02893
County: Kent County
Purpose: BLOSSOM HEALTH IS A TELEPSYCHIATRY PRACTICE
Principal Address: Google Maps Logo 1300 DIVISION ROAD SUITE 301, WEST WARWICK, RI, 02893, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
DANA SIPERSTEIN Agent 1300 DIVISION ROAD SUITE 301, WEST WARWICK, RI, 02893, USA

Manager

Name Role Address
DANA SIPERSTEIN, M.D. Manager 1300 DIVISION ROAD, SUITE 301 WEST WARWICK, RI 02893 USA

National Provider Identifier

NPI Number:
1316692320
Certification Date:
2022-02-17

Authorized Person:

Name:
DR. DANA SIPERSTEIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
8337920895

Filings

Number Name File Date
202460263960 Statement of Change of Registered/Resident Agent 2024-09-23
202343190260 Annual Report 2023-12-05
202325625180 Annual Report 2023-01-03
202208822060 Annual Report 2022-01-28
202208821180 Annual Report 2022-01-28

Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State