Blanton Home II Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-023-079 Issued in NC

Legal business name

BLANTON HOME II INC

Practice address

2650 S Lafayette St
Shelby, NC 28152-7583

Phone

(704) 481-8054

Fax

(704) 480-7628

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Iva Blanton

Title

Owner Operator

Phone

(704) 481-8054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023174448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527583",
            "telephone_number": "704-481-8054",
            "fax_number": "704-480-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527583",
            "telephone_number": "704-481-8054",
            "fax_number": "704-480-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANTON HOME II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "IVA",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "704-481-8054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Billinsky Jr., MD
• Mark L. Binion, MD
• Shem Kearney Blackley III, M.D.
• Haley Hutchins Blalock, PHARMD
• Ashley-Feodore Veronique Blanc, DMD
• Darin Lyle Blanton, CRNA
• Erica Deametrius Blanton
• Kassidy Shea Blanton, FNP
• Romelle Blanton, LCMHC-A
• Stephanie Blanton, PA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.