SHARI BLACKBURN
NPI 1174850002
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Gratiot, MI

Q: What is Shari Blackburn's NPI number?

The NPI number for Shari Blackburn is 1174850002. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Q: What is Shari Blackburn's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Shari Blackburn was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 13, 2009

3399 OXBOW DR, FORT GRATIOT, MI 48059(810) 990-8134 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shari Blackburn NPPES

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

SHARI BLACKBURN (NPI 1174850002) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Fort Gratiot, Michigan, licensed in Michigan (AF740302832) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1174850002

Entity TypeIndividualFemale

Primary Taxonomy320600000X

Provider Legal NameSHARI BLACKBURN

Location Address3399 OXBOW DRFort Gratiot, MI 48059-4124

Mailing Address3399 Oxbow DrFort Gratiot, MI 48059-4124 · (810) 990-8134

Phone(810) 990-8134

Sole ProprietorYes

Enumeration DateNovember 13, 2009

✔ NPI 1174850002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in MI · AF740302832

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

3399 OXBOW DR, Fort Gratiot, MI 48059

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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 Shari Blackburn's NPI number?

The NPI number for Shari Blackburn is 1174850002. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Where is Shari Blackburn located?

Shari Blackburn practices at 3399 Oxbow Dr, Fort Gratiot, MI 48059. The listed phone number is (810) 990-8134.

What is Shari Blackburn's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Shari Blackburn was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.