Organization Active NPI

Blackwell Foster Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fyffe, AL
National Provider Identifier
1124397963
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BLACKWELL FOSTER HOME
Practice address
743 County Road 18
Fyffe, AL 35971-3907
Phone
(256) 659-6649
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dianette Blackwell
Title
Director
Phone
(256) 659-6649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

743 County Road 18
Fyffe, AL 35971-3907

Mailing address

743 County Road 18
Fyffe, AL 35971
Phone (256) 659-6649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1124397963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 COUNTY ROAD 18",
            "city": "FYFFE",
            "state": "AL",
            "postal_code": "35971",
            "telephone_number": "256-659-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 COUNTY ROAD 18",
            "city": "FYFFE",
            "state": "AL",
            "postal_code": "359713907",
            "telephone_number": "256-659-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "DIANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-659-6649"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fyffe, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.