BLUEPRINT FOR SUCCESS LLC (NPI# 1962001479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962001479 |
| Entity Type | Organization |
| Organization Name | BLUEPRINT FOR SUCCESS LLC |
| Practice Address |
117 E Liberty St Springfield OH 45505-1935 |
| Practice Telephone | 9379370142 |
| Practice Fax Number | 8553005330 |
| Mailing Telephone | 9379370142 |
| Mailing Fax Number | 8553005330 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | MR. MICHAEL WARD (OWNER) |
| Authorized Official Telephone | 9377230142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BLUEPRINT FOR SUCCESS LLC | Doing Business As Name - Organization |
| Street Address |
117 E LIBERTY ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962644807 | Hshs Medical Group Inc | Clinic/Center | 3051 Hollis Dr, Springfield, IL 62704-7450 | 2009-03-24 |
| 1508835893 | Banyan Group, Inc. | Clinic/Center | 3805 S Kansas Expy, Springfield, MO 65807-6988 | 2006-03-17 |
| 1568017481 | Memorial Medical Center | Clinic/Center | 701 N 1st St, Springfield, IL 62781-0001 | 2019-08-07 |
| 1972030740 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-05-11 |
| 1336417724 | Acupuncture & Chiropractic Center | Clinic/Center | 716 S 2nd St, Springfield, IL 62704-2516 | 2011-12-13 |
| 1386661148 | Springfield Medical Associates, Inc | Clinic/Center | 2150 Main St, Springfield, MA 01104-3300 | 2006-07-17 |
| 1740223874 | Peacehealth | Clinic/Center | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2006-06-14 |
| 1215974415 | Springfield Clinic LLP | Clinic/Center | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-31 |
| 1780638478 | Springfield Clinic, LLP | Clinic/Center | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-19 |
| 1326099383 | Ferrell Duncan Clinic, Inc | Clinic/Center | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-05-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
Please comment or provide details below to improve the information on BLUEPRINT FOR SUCCESS LLC.
| 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.