Bluebonnet Haven, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BLUEBONNET HAVEN, LLC

Practice address

4150 Highway 36 S
Brenham, TX 77833-8164

Phone

(979) 347-6662

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel BlankenburgNPI 1124814926

Title

Owner/Executive Director

Phone

(979) 421-0736

Specialties & licenses 4

Addresses

Locations

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.

• Rachel Blankenburg

  • Professional Counselor
  • Burton, TX
  • NPI 1124814926
  NPD Authorized official

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1982446548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778338164",
            "telephone_number": "979-347-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778338164",
            "telephone_number": "979-347-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BLANKENBURG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-421-0736"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkeley Eye Institute, PLLC (Berkeley Eye Center)
• Sammuel Bharksuwan, M.D.
• Kathryn Dawn Bircher, RN
• Robin Elizabeth Blankenburg, RPH
• Blinn College
• Bluebonnet Pediatric Dentistry PLLC (Bluebonnet Pediatric Dentistry)
• Sandra Kay Blum
• Jon F Bode, MD
• Rachel Lynn Boer, PHARMD
• Matthew Howard Boutte, PA-C, MPAS

• Emotionally Disturbed Childrens' Residential Treatment Facility in Brenham, TX
• Providers in Brenham, TX by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.