KENDRA BLUM – NPI #1033452396
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

KENDRA BLUM is a residential treatment facility located in GRASS VALLEY, CA. NPPES has assigned the NPI number 1033452396 to KENDRA BLUM on April 04, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENDRA BLUM below.

NPI Profile for
KENDRA BLUM

NPI Number
1033452396
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KENDRA BLUM
Primary location
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone: (530) 477-9800 Fax: (530) 477-9803
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.