BLACKWELL HOMES (NPI# 1700117082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700117082 |
| Entity Type | Organization |
| Organization Name | BLACKWELL HOMES |
| Practice Address |
1646 S Wright Rd Santa Rosa CA 95407-7318 |
| Mailing Address |
Po Box 8578 Santa Rosa CA 95407-1578 |
| Practice Telephone | 7075755387 |
| Practice Fax Number | 7075702647 |
| Mailing Telephone | 7075755387 |
| Mailing Fax Number | 7075702647 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | MR. WILLARD BLACKWELL (CFO) |
| Authorized Official Telephone | 7075755387 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
496800053 | CA | Ambulatory Health Care Facilities |
| Street Address |
1646 S WRIGHT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778525 | Firefly Center: Therapy Services for Children | Clinic/Center | 1601 Old Bayshore Hwy Ste 221, Burlingame, CA 94010-1508 | 2020-10-21 |
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1407374333 | Social Skills Training and Resources | Clinic/Center | 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 | 2017-08-30 |
| 1588047492 | Autism Center of Northern California | Clinic/Center | 870 Market St Ste 472-476, San Francisco, CA 94102-3001 | 2015-07-09 |
| 1962806166 | Rady Childrens Hospital-san Diego | Clinic/Center | 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 | 2014-10-17 |
| 1356683015 | Speechcom Incorporated | Clinic/Center | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2013-03-20 |
| 1619263266 | Russo, Fleck & Associates | Clinic/Center | 960 W Town and Country Rd, Orange, CA 92868-4714 | 2011-06-22 |
| 1316252000 | Pediatric Minds Medical Center | Clinic/Center | 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821 | 2010-08-18 |
| 1265761738 | Tadpoles Therapy Services To You Inc | Clinic/Center | 10225 Barnes Canyon Rd Ste A210, San Diego, CA 92121-2734 | 2009-12-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.