Bladee Enterprise International Company LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BLADEE ENTERPRISE INTERNATIONAL COMPANY LLC

Practice address

4006 Espada Ledge
San Antonio, TX 78222-3476

Phone

(210) 632-7758

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Wellington Carngbe

Title

President

Phone

(210) 632-7758

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1275121451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 ESPADA LEDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223476",
            "telephone_number": "210-632-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 ESPADA LEDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223476",
            "telephone_number": "210-632-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEE ENTERPRISE INTERNATIONAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "CARNGBE",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-632-7758"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Blackwell, PHARMD
• Earnie M Blackwell, W.H.N.P, R.N.C.
• Shanae Ariel Blackwell, LMT
• Tianna Blackwill
• Bladee Blessings Care, LLC
• Trista Bladegroen, LVN
• Joseph C Blader, PH.D.
• Paige Kendell Blades, RDN
• Karen Jean Blaesing, PHD CCCSLP
• Irene K Blaess, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.