NPIMap

Organization Active NPI

Elite Family Systems - Blaker Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ceres, CA
National Provider Identifier
1891375366
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ELITE FAMILY SYSTEMS - BLAKER HOME
Practice address
3607 Blaker Rd
Ceres, CA 95307-9503
Phone
(209) 531-2088
NPI assigned
Apr 9, 2021
Organization subpart
Yes
Parent organization
ELITE FAMILY SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Bill Sneed Jr.NPI 1093432676
Title
Chief Operations Officer
Phone
(209) 531-2088

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
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3607 Blaker Rd
Ceres, CA 95307-9503

Mailing address

PO Box 490
Ceres, CA 95307-0490
Phone (209) 531-2088

National Provider Directory

National Provider Directory
Tax ID family
Elite Family Systems - Blaker Home5 organizations share this tax ID, including this one
Part of
Elite Family Systems - Blaker Home

Other organizations with this tax ID 4

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

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.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1891375366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953070490",
            "telephone_number": "209-531-2088",
            "fax_number": "209-538-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 BLAKER RD",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079503",
            "telephone_number": "209-531-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY SYSTEMS - BLAKER HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE FAMILY SYSTEMS",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-12-19",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "209-531-2088",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.