EASTER SEALS BLAKE FOUNDATION (NPI# 1376967323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376967323 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS BLAKE FOUNDATION |
| Other Organization Name | BLAKE FOUNDATION |
| Practice Address |
1060 S 5th Ave Yuma AZ 85364-3823 |
| Mailing Address |
7750 E Broadway Blvd Tucson AZ 85710-3901 |
| Practice Telephone | 9282769225 |
| Mailing Telephone | 5203271529 |
| Mailing Fax Number | 5203271836 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | EMA KAMMEYER (CEO) |
| Authorized Official Telephone | 5203271529 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH4230 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| Blake Foundation | Former Legal Business Name - Organization |
| 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 |
| 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 |
| 1821429853 | Easter Seals Blake Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 5752 E Waverly St, Tucson, AZ 85712-3739 | 2013-12-02 |
| Street Address |
1060 S 5TH AVE |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| 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 |
|---|---|---|---|---|
| 1750915955 | Sage Counseling, Inc. | Community/Behavioral Health | 791 S 4th Ave Ste F, Yuma, AZ 85364-3067 | 2020-02-26 |
| 1174165062 | Az Center of Empowerment Services, LLC | Community/Behavioral Health | 1420 S 5th Ave, Yuma, AZ 85364-4608 | 2019-10-11 |
| 1821654120 | The Resolution Group, Inc. | Community/Behavioral Health | 290 S 1st Ave Ste 5, Yuma, AZ 85364-2260 | 2019-05-13 |
| 1730677469 | Sage Counseling, Inc. | Community/Behavioral Health | 281 W 24th St Ste 124, Yuma, AZ 85364-8539 | 2018-04-27 |
| 1427554708 | Easterseals Blake Foundation | Community/Behavioral Health | 3860 West 24th Street, Suites 201-208, Yuma, AZ 85364 | 2018-04-04 |
| 1194223941 | Community Intervention Associates, Inc | Community/Behavioral Health | 410 S. Maiden Lane, Yuma, AZ 85364 | 2018-01-26 |
| 1164976924 | The Healing Joureny | Community/Behavioral Health | 2197 S 4th Ave Ste 202, Yuma, AZ 85364-6473 | 2016-08-10 |
| 1417346701 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 201 S 1st Ave, Yuma, AZ 85364-2205 | 2015-01-09 |
| 1487042826 | Rna Property, LLC | Community/Behavioral Health | 1340 S 4th Ave, Yuma, AZ 85364-4626 | 2015-01-08 |
| 1215325071 | Turtle Bay Cafe of Yuma, LLC | Community/Behavioral Health | 1360 S 4th Ave, Yuma, AZ 85364-4626 | 2015-01-02 |
| Find all providers in YUMA | ||||
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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.