Organization Active NPI

Select Group Homes Inc

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1962603241
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SELECT GROUP HOMES INC
Practice address
4730 30TH St W
Bradenton, FL 34207-1601
Phone
(941) 753-5264
Fax
(941) 753-0434
NPI assigned
May 31, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Jane Blackburn
Title
Adminstrator Owner
Phone
(941) 753-5264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9427 FL
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

4730 30TH St W
Bradenton, FL 34207-1601

Mailing address

4730 30TH St W
Bradenton, FL 34207-1601
Phone (941) 753-5264

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962603241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 30TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071601",
            "telephone_number": "941-753-5264",
            "fax_number": "941-753-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 30TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071601",
            "telephone_number": "941-753-5264",
            "fax_number": "941-753-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT GROUP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINSTRATOR OWNER",
        "authorized_official_telephone_number": "941-753-5264"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9427",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.