NPIMap

Organization Active NPI

Blended Family Health Care Services, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Canton, OH
National Provider Identifier
1316760077
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
BLENDED FAMILY HEALTH CARE SERVICES, LLC
Doing business as
Blended Family Health Care Services LLC
Practice address
907 30TH St NE
Canton, OH 44714-1405
Phone
(330) 915-8601
Fax
(330) 915-8005
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Ebony West Cundiff
Title
Ceo
Phone
(330) 268-8799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

907 30TH St NE
Canton, OH 44714-1405

Mailing address

907 30TH St NE
Canton, OH 44714-1405
Phone (330) 915-8601

Other names 1

  • BLENDED FAMILY HEALTH CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blended Family Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1316760077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141405",
            "telephone_number": "330-915-8601",
            "fax_number": "330-915-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141405",
            "telephone_number": "330-915-8601",
            "fax_number": "330-915-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDED FAMILY HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "WEST CUNDIFF",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-268-8799"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLENDED FAMILY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.