JOHN C. BLAKE – NPI #1134924475
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
JOHN BLAKE is a community based residential treatment facility located in OSHKOSH, WI. NPPES has assigned the NPI number 1134924475 to JOHN BLAKE on February 19, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
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NPI Profile for
JOHN C. BLAKE
(more than a year ago)
OSHKOSH, WI 54901-4811 Phone: (414) 345-7781 Fax: (866) 496-2680
1 Other location(s):
Columbus, OH 43232-3198
Phone: (614) 456-4999
Fax: (896) 268-0664
OSHKOSH, WI 54904-8944 Phone: (414) 345-7781 Fax: (866) 496-2680
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
WI | 0017165 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.