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BLACKWELL HOMES NPI 1700117082


NPI Information

NPI: 1700117082
Provider Name: BLACKWELL HOMES
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1646 S WRIGHT RD
SANTA ROSA, CA
ZIP 95407
Phone: (707) 575-5387
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BLACKWELL HOMES is a developmental disabilities clinic center in Santa Rosa, CA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BLACKWELL HOMES NPI is 1700117082. The provider is registered as an organization entity type.

The provider's business location address is:

1646 S WRIGHT RD
SANTA ROSA, CA
ZIP 95407-318
Phone: (707) 575-5387
Fax: (707) 570-2647

The provider's authorized official is Willard Blackwell .
The authorized official title is Cfo and has the following contact phone number (707) 575-5387.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 1/26/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental Disabilities496800053CALIFORNIAYes

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: 4/28/2024

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