Blackhawk Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLACKHAWK HEALTHCARE INC.

Practice address

3160 Crow Canyon Rd # 160C
San Ramon, CA 94583-1368

Phone

(925) 575-8900

Fax

(925) 241-0655

NPI assigned

Jun 23, 2023

Organization subpart

No

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

Authorized official

Name

Rishi Mehta

Title

Chief Executive Officer

Phone

(925) 575-8900

Specialties & licenses 2

Addresses

Other names 1

• Qualicare Doing business as

Tax ID family

Blackhawk Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blackhawk Healthcare Inc.

  • Home Health Agency
  • San Ramon, CA
  • NPI 1265266688
  NPD tax ID

Locations

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1780360875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON RD # 160C",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831368",
            "telephone_number": "925-575-8900",
            "fax_number": "925-241-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON RD # 160C",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831368",
            "telephone_number": "925-575-8900",
            "fax_number": "925-241-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-575-8900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Qualicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique Bindra
• Zariyon Birks
• Jenna Ashley Bittner
• Jeanette Black, DNP, RN, DIPACLM
• Blackhawk Healthcare Inc.
• Marina Petinou Blalock, LMFT
• Susan Astrid Blanc, NC
• Devan Block, OTR/L
• Blue Sea Wellness Clinic
• Nakala Blue

• Home Health Agency in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.