NPIMap

Organization Active NPI

Blackwell's Community Living

  • Mental Illness Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1013393842
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BLACKWELL'S COMMUNITY LIVING
Practice address
2406 Ashton Park LN
Burlington, NC 27215-6310
Phone
(336) 317-1926
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin Blackwell, PP
Title
Owner
Phone
(336) 317-1926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2406 Ashton Park LN
Burlington, NC 27215-6310

Mailing address

426 Somers Ave
Burlington, NC 27215-2032
Phone (336) 270-4463

National Provider Directory

National Provider Directory
Tax ID family
Blackwell's Community Living5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1013393842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SOMERS AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152032",
            "telephone_number": "336-270-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 ASHTON PARK LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156310",
            "telephone_number": "336-317-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL'S COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-317-1926",
        "authorized_official_credential": "PP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.