NPIMap

Organization Active NPI

Blackwell'S Community Living LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1598068900
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLACKWELL'S COMMUNITY LIVING LLC
Practice address
509 Fernway Dr
Burlington, NC 27217-8850
Phone
(336) 270-4463
Fax
(336) 897-7564
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mrs. Robin Newby BlackwellNPI 1740664192
Title
Director
Phone
(336) 317-1926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

509 Fernway Dr
Burlington, NC 27217-8850

Mailing address

509 Fernway Dr
Burlington, NC 27217-8850
Phone (336) 270-4463

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1598068900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FERNWAY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178850",
            "telephone_number": "336-270-4463",
            "fax_number": "336-897-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FERNWAY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178850",
            "telephone_number": "336-270-4463",
            "fax_number": "336-897-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL'S COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "NEWBY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-317-1926",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Oct 9, 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.