KENDRA BLUM
NPI 1033452396
Residential Treatment Facility, Emotionally Disturbed Children in Grass Valley, CA

Active since April 04, 2013
714 W MAIN ST, GRASS VALLEY, CA 95945(530) 477-9800(530) 477-9803 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendra Blum NPPES

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

KENDRA BLUM (NPI 1033452396) is an individual residential treatment facility, emotionally disturbed children provider in Grass Valley, California and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1033452396
Entity TypeIndividualFemale
Primary Taxonomy322D00000X
Provider Legal NameKENDRA BLUM
Location Address714 W MAIN STGrass Valley, CA 95945-6410
Mailing Address714 W Main StGrass Valley, CA 95945-6410 · (530) 477-9800 · Fax (530) 477-9803
Fax(530) 477-9803
Sole ProprietorYes
Enumeration DateApril 4, 2013
NPI 1033452396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

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.

714 W MAIN ST, Grass Valley, CA 95945

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945
Marriage & Family Therapist
714 W MAIN ST
GRASS VALLEY, CA 95945
Residential Treatment Facility, Emotionally Disturbed Children
714 W MAIN ST
GRASS VALLEY, CA 95945
Counselor
714 W MAIN ST
GRASS VALLEY, CA 95945

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 Kendra Blum's NPI number?

The NPI number for Kendra Blum is 1033452396. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Kendra Blum located?

Kendra Blum practices at 714 W Main St, Grass Valley, CA 95945. The listed phone number is (530) 477-9800.

What is Kendra Blum's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Kendra Blum was last updated on April 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.