EASTER SEALS BLAKE FOUNDATION (NPI# 1447531298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447531298 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS BLAKE FOUNDATION |
| Practice Address |
6420 E Broadway Blvd Suite B-200 Tucson AZ 85710-3534 |
| Practice Telephone | 5202077310 |
| Practice Fax Number | 5207954981 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Authorized Official Name | MS. HELEN HERZIGER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5202077310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH 3907 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES- OFFICE OF BEHAVIORAL HEAL | BH-3907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1548781487 | Easter Seals Blake Foundation | Community/Behavioral Health | 7750 E Broadway Blvd Ste A100, Tucson, AZ 85710-3901 | 2017-06-30 |
| 1376967323 | Easter Seals Blake Foundation | Community/Behavioral Health | 1060 S 5th Ave, Yuma, AZ 85364-3823 | 2014-02-11 |
| 1932530797 | Easter Seals Blake Foundation | Community/Behavioral Health | 7756 E Broadway Blvd, Ste. A-100, Tucson, AZ 85710 | 2013-12-04 |
| 1679847834 | Easter Seals Blake Foundation | Community/Behavioral Health | 320 S Convent Ave, Tucson, AZ 85701-2215 | 2012-03-05 |
| 1104079714 | Easter Seals Blake Foundation | Community/Behavioral Health | 1938 W Thatcher Blvd, Safford, AZ 85546-3318 | 2008-10-28 |
| 1548356207 | Easter Seals Blake Foundation | Case Management | 5704 E. Grant Road, Tucson, AZ 85712 | 2006-10-04 |
| 1760906440 | Easter Seals Blake Foundation | Counselor | 310 S Meyer Ave, Tucson, AZ 85701-2207 | 2017-08-03 |
| 1164875969 | Easter Seals Blake Foundation | Clinic/Center | 288 N Ironwood Dr Ste 115, Apache Junction, AZ 85120-3830 | 2016-07-15 |
| 1194156125 | Easter Seals Blake Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 5626 E 2nd St, Tucson, AZ 85711-1415 | 2013-12-02 |
| Street Address |
6420 E BROADWAY BLVD SUITE B-200 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417920034 | Dva Renal Healthcare Inc | Clinic/Center | 6420 E Broadway Blvd, Ste C300, Tucson, AZ 85710-3534 | 2006-02-13 |
| 1508249541 | Curtis Bissonette | Marriage & Family Therapist | 6420 E Broadway Blvd, Tucson, AZ 85710-3534 | 2015-07-08 |
| 1174815419 | Victoria Lindsay Cannon | Social Worker | 6420 E Broadway Blvd, B200, Tucson, AZ 85710-3534 | 2011-05-04 |
| 1124317748 | Catherine Danilo | Social Worker | 6420 E Broadway Blvd, Suite B200, Tucson, AZ 85710-3534 | 2011-04-05 |
| 1093948390 | Christina M Keszler | Chiropractor | 6420 E Broadway Blvd, Suite B102-d, Tucson, AZ 85710-3536 | 2009-09-02 |
| 1376781906 | Karen Cecile Johnston | Psychiatry & Neurology | 6420 E Broadway Blvd, Suite B302, Tucson, AZ 85710-3534 | 2009-02-04 |
| 1871669077 | John F Manfredonia | Family Medicine | 6420 E Broadway Blvd, B-200, Tucson, AZ 85710-3534 | 2006-11-28 |
| 1043265473 | Vistacare Usa, Inc. | Hospice Care, Community Based | 6420 E Broadway Blvd, Suite B-200, Tucson, AZ 85710-3534 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
| 1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
| 1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
| 1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
| 1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
| 1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
| 1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
| 1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
| 1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.