Blair Group Home

Primary specialty

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

License

678316396 Issued in FL

Legal business name

BLAIR GROUP HOME

Practice address

211 N Sparkman Ave
Orange City, FL 32763-5011

Phone

(386) 775-2165

Fax

(386) 775-3165

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By 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. Craig Alan Blair

Title

Manager

Phone

(386) 837-3125

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1346681129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N SPARKMAN AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635011",
            "telephone_number": "386-775-2165",
            "fax_number": "386-775-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N SPARKMAN AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635011",
            "telephone_number": "386-775-2165",
            "fax_number": "386-775-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-837-3125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "678316396",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "678316396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bestacare,LLC
• Erin Betzner
• Janak Hirabhai Bhavsar, MD
• Gertrude C Birkhahn
• Lela A Bizzaro, MA
• Moline Jephtee Blanc
• Richard Carroll Bledsoe, PT
• Russell Gordon Blenis, PHARM.D.
• Penelope Block, M.D.
• Becky Blondell

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orange City, FL
• Providers in Orange City, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.