Blake Foundation

LBN: Easter Seals Blake Foundation
Blake Foundation is an health care organization with primary practice located at 1115 E Florence Blvd Suite A, Casa Grande AZ 85122-4228. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Easter Seals Blake Foundation can be contacted via phone (520) 723-4429, or through Arendt, Marissa S via phone (520) 327-1529.

Contact Information

Primary practice address
1115 E Florence Blvd Suite A Casa Grande AZ 85122-4228
Phone: (520) 723-4429
Fax:
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 / Community/Behavioral Health 251S00000X BH-4277 Arizona

Profile Details

NPI number 1528400538
LBN Legal business name Easter Seals Blake Foundation
DBA Doing business as Blake Foundation
Authorized official Arendt, Marissa S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2013
Last updated Sep 1st, 2023 - about 3 years ago

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 1528400538 NPPES
Arizona Other BH-4227 ARIZONA DEPARTMENT OF HEALTH SERVICES - OFFICE OF BEHAVIORAL HEALTH LICENSURE

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