Easter Seals Blake Foundation

LBN: Easter Seals Blake Foundation
Easter Seals Blake Foundation is an health care organization with primary practice located at 7750 E Broadway Blvd Suite A200, Tucson AZ 85710. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Easter Seals Blake Foundation can be contacted via phone (520) 327-1529, or through Arendt, Marissa S via phone (520) 327-1529.

Contact Information

Primary practice address
7750 E Broadway Blvd Suite A200 Tucson AZ 85710
Phone: (520) 327-1529
Fax: (520) 327-1836
Website:
Map and Directions
Authorized official contact:
Name: Arendt, Marissa S
Phone: (520) 327-1529

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1548356207
LBN Legal business name Easter Seals Blake Foundation
DBA Doing business as
Authorized official Arendt, Marissa S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548356207 NPPES
Arizona MEDICAID 042622

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