ROBIN BLACKWELL (NPI# 1740664192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740664192 |
| Entity Type | Individual |
| Full Name | ROBIN BLACKWELL |
| Practice Address |
5118 Foxview Dr Pleasant Garden NC 27313-9572 |
| Mailing Address |
509 Fernway Dr Burlington NC 27217-8850 |
| Practice Telephone | 3366743464 |
| Mailing Telephone | 3362703644 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276632 | Robin Ceclia Blackwell | Registered Nurse | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2017-03-18 |
| 1700957958 | Robin L Blackwell | Social Worker | 4810 Hardware Dr Ne, Albuquerque, NM 87109 | 2006-11-10 |
| Street Address |
5118 FOXVIEW DR |
| City | PLEASANT GARDEN |
| State | NC |
| Zip Code | 27313-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595988 | Blackwell's Community Living | In Home Supportive Care | 5118 Foxview Dr, Pleasant Garden, NC 27313-9572 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708851 | Blake Scott Walrond | Dentist | 2607 Tabernacle Church Road, Pleasant Garden, NC 27313 | 2007-04-16 |
| 1528167095 | Clapp's Assisted Living | Assisted Living Facility | 4558 Pleasant Garden Road, Pleasant Garden, NC 27313 | 2006-09-21 |
| 1215030523 | James Henry Tomlinson II | Physician Assistant | 1500 Neelley Rd, Pleasant Garden, NC 27313-0580 | 2006-09-06 |
| 1821174095 | Wilson Oliver Elkins | Family Medicine | 1500 Neelley Rd, Pleasant Garden, NC 27313-0580 | 2006-10-31 |
| 1225000888 | Clapp's Nursing Center, Inc. | Skilled Nursing Facility | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2006-02-07 |
| 1477014876 | Sybil Lucas | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2019-03-28 |
| 1518424530 | Julie Britt | Occupational Therapist | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2019-02-26 |
| 1265908354 | Nicholas Thomas Aivars Lukasevics | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-10-16 |
| 1316412695 | Renee Otte | Physical Therapy Assistant | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-10-12 |
| 1477051738 | Cecile Griffin Spence | Physical Therapist | 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | 2018-01-31 |
| Find all providers in zip 27313 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GARDEN |
| Zip Code | 27313 |
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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.