Active NPI
Blackhawk Premier Care Inc
Doing business as Blackhawk Premier Health Solutions
- Community/Behavioral Health Agency
- Fairfield, CA
National Provider Identifier
1790691723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BLACKHAWK PREMIER CARE INC
- Doing business as
- Blackhawk Premier Health Solutions
- Practice address
- 5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794 - Phone
- (702) 416-4270
- NPI assigned
- Aug 20, 2026
- Last updated
- Aug 20, 2026
- Organization subpart
- Yes
- Parent organization
- BLACKHAWK PREMIER CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Temitope Omotayo
- Title
- President and Ceo
- Phone
- (702) 416-4270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794
Mailing address
5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794
Other names 1
- Blackhawk Premier Health Solutions
National Provider Directory
National Provider Directory- Tax ID family
- Blackhawk Premier Care Inc
- Part of
- Blackhawk Premier Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba BrightStar Care of Fairfield
- Home Health Agency
- Fairfield, CA
- NPI 1104715358
Locations
5140 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (702) 416-4270
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba BrightStar Care of Fairfield
- Home Health Agency
- Fairfield, CA
- NPI 1104715358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1790691723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 BUSINESS CENTER DR STE 210",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 BUSINESS CENTER DR STE 210",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341794",
"telephone_number": "702-416-4270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKHAWK PREMIER CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLACKHAWK PREMIER CARE INC",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "OMOTAYO",
"authorized_official_first_name": "TEMITOPE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "702-416-4270"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blackhawk Premier Health Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.