Blended Family Health Care Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BLENDED FAMILY HEALTH CARE SERVICES, LLC

Practice address

903 30TH St NE
Canton, OH 44714-1405

Phone

(330) 268-8799

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Ebony R West-Cundiff

Title

Ceo

Phone

(330) 268-8799

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Blended Family Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Blended Family Health Care Services, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Canton, OH
  • NPI 1316760077
  NPD tax ID
• Blended Family Health Care Services, LLC

  • Home Health Agency
  • Canton, OH
  • NPI 1336927367
  NPD tax ID

Locations

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1992468805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141405",
            "telephone_number": "330-268-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141405",
            "telephone_number": "330-268-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDED FAMILY HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WEST-CUNDIFF",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-268-8799",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454288",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ebonywc@blendedfamily.co",
            "affiliation": "N",
            "address_1": "903 30th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447141405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee Ann Blashak
• Mark Blazel, DO
• Breanne Hafer Bleakmore, DDS
• Blended Family Health Care Services, LLC
• Blended Family Health Care Services, LLC
• Blendedtraditions
• Bleu House Residential
• Larry P. Blind, LMT
• Douglas L Blocker, M.D.
• William P Blocker, M.D.

• Developmentally Disabled Services Day Training Agency in Canton, OH
• Providers in Canton, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.