BLACKWELL'S COMMUNITY LIVING (NPI# 1033595988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033595988 |
| Entity Type | Organization |
| Organization Name | BLACKWELL'S COMMUNITY LIVING |
| Practice Address |
5118 Foxview Dr Pleasant Garden NC 27313-9572 |
| Mailing Address |
426 Somers Ave Burlington NC 27215-2032 |
| Practice Telephone | 3366743464 |
| Mailing Telephone | 3362704463 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | ROBIN BLACKWELL (OWNER) |
| Authorized Official Telephone | 3363171926 |
| Authorized Official Credential | PP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013393842 | Blackwell's Community Living | Day Training, Developmentally Disabled Services | 2406 Ashton Park Ln, Burlington, NC 27215-6310 | 2015-08-04 |
| 1518343458 | Blackwell's Community Living | In Home Supportive Care | 203 Wilson St, Graham, NC 27253-2721 | 2015-08-03 |
| Street Address |
5118 FOXVIEW DR |
| City | PLEASANT GARDEN |
| State | NC |
| Zip Code | 27313-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740664192 | Robin Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5118 Foxview Dr, Pleasant Garden, NC 27313-9572 | 2015-07-15 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| 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.