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BLACKWELL'S COMMUNITY LIVING
NPI 1013393842
Community Based Residential Treatment Facility, Mental Illness in Burlington, NC

Active since August 04, 2015CLIA 34D2075053 · Waiver
2406 ASHTON PARK LN, BURLINGTON, NC 27215(336) 317-1926 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackwell's Community Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKWELL'S COMMUNITY LIVING (NPI 1013393842) is a healthcare organization registered as a community based residential treatment facility, mental illness in Burlington, North Carolina and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Robin Blackwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1013393842
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBLACKWELL'S COMMUNITY LIVING
Location Address2406 ASHTON PARK LNBurlington, NC 27215-6310
Mailing Address426 Somers AveBurlington, NC 27215-2032 · (336) 270-4463
Phone(336) 317-1926
Organization SubpartNo
Authorized OfficialRobin BlackwellOwner · (336) 317-1926
Enumeration DateAugust 4, 2015
✔ NPI 1013393842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
2406 ASHTON PARK LN, Burlington, NC 27215
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2075053

Blackwells Community Living · Burlington, NC
Active · expires Jul 17, 2027
CLIA Number34D2075053
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorRobin Blackwell
Laboratory Phone(336) 270-4463
Laboratory LocationBlackwells Community Living509 Fernway Dr, Burlington, NC 27217
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackwell's Community Living's NPI number?

The NPI number for Blackwell's Community Living is 1013393842. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Blackwell's Community Living located?

Blackwell's Community Living is located at 2406 Ashton Park Ln, Burlington, NC 27215. The listed phone number is (336) 317-1926.

What is Blackwell's Community Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Blackwell's Community Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2075053) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blackwell's Community Living was last updated on August 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.