NPIMap

Organization Active NPI

Blackwell'S Community Living LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1346571304
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BLACKWELL'S COMMUNITY LIVING LLC
Practice address
426 Somers Ave
Burlington, NC 27215-2032
Phone
(336) 317-1926
Fax
(336) 674-6190
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robin Blackwell
Title
Director
Phone
(336) 317-1926

Specialties & licenses 1

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

Addresses

Primary practice location

426 Somers Ave
Burlington, NC 27215-2032

Mailing address

426 Somers Ave
Burlington, NC 27215-2032
Phone (336) 317-1926

National Provider Directory

National Provider Directory
Tax ID family
Blackwell'S Community Living5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346571304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SOMERS AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152032",
            "telephone_number": "336-317-1926",
            "fax_number": "336-674-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SOMERS AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152032",
            "telephone_number": "336-317-1926",
            "fax_number": "336-674-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL'S COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-317-1926"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.