EASTER SEALS BLAKE FOUNDATION NPI 1548356207

NPI Information

NPI: 1548356207
Provider Name: EASTER SEALS BLAKE FOUNDATION
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7750 E BROADWAY BLVD
SUITE A200
TUCSON, AZ
ZIP 85710
Phone: (520) 327-1529
Get Directions

EASTER SEALS BLAKE FOUNDATION is a community based residential treatment facility, intellectual and/or developmental disabilities in Tucson, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EASTER SEALS BLAKE FOUNDATION NPI is 1548356207. The provider is registered as an organization entity type.

The provider's business location address is:

7750 E BROADWAY BLVD
SUITE A200
TUCSON, AZ
ZIP 85710
Phone: (520) 327-1529
Fax: (520) 327-1836

The provider's authorized official is Marissa S Arendt .
The authorized official title is Cfo and has the following contact phone number (520) 327-1529.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
3	251B00000X	Case Management		No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	042622	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »