Active NPI
Blackwell Foster Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fyffe, AL
National Provider Identifier
1124397963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.