Blessed New Beginnings, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-041-1039 Issued in NC

Legal business name

BLESSED NEW BEGINNINGS, LLC

Practice address

1002 Wakefield Dr
Greensboro, NC 27410-3135

Phone

(336) 541-8160

Fax

(336) 541-8161

NPI assigned

Jan 18, 2012

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Louis Cunningham

Title

Director/QP

Phone

(336) 734-3824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1346511748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16527",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160527",
            "telephone_number": "336-541-8160",
            "fax_number": "336-541-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WAKEFIELD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103135",
            "telephone_number": "336-541-8160",
            "fax_number": "336-541-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED NEW BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DIRECTOR/QP",
        "authorized_official_telephone_number": "336-734-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Jo Blatt, DNP, CPNP-PC
• Rebecca Ann Bledsoe, PHYSICIAN ASSISTANT
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• Andrea G Blevins, ANP
• Cooper Mark Blevins
• Douglas Dane Blevins, MD
• Melinda Ann Blietz, MD

• Mental Illness Community Based Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.