Blandford Family Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1063-14-001 Issued in VA

Legal business name

BLANDFORD FAMILY SERVICES LLC

Practice address

2703 Tipton St
Colonial Heights, VA 23834-5246

Phone

(804) 605-1800

Fax

(804) 318-1569

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Irvin Blandford

Title

Owner/Director

Phone

(804) 605-1800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1760716229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 DAMPIER CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316640",
            "telephone_number": "804-605-1800",
            "fax_number": "804-318-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 TIPTON ST",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238345246",
            "telephone_number": "804-605-1800",
            "fax_number": "804-318-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANDFORD FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "BLANDFORD",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "804-605-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1063-14-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159111076",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Alan Bigley Jr., M.D.
• Supraja Bilakanti, DMD
• Jennifer Michelle Bivins, SCSW
• Erica Blackwell
• Heidi J Blair, PA
• Blue Ridge Hearing, Inc (Miracle-Ear)
• Hope Victoria Bollin
• Bon Secours Mercy Health Petersburg LLC (Bon Secours - Colonial Height Emergency Care)
• Bon Secours St. Francis Medical Center Inc (Care Diabetes and Endocrinology)
• Bon Secours-Virginia Healthsource (Cardiology Associates of Central Virginia)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.