BLANDINE HOUSE INC
NPI 1285922971
Substance Abuse Rehabilitation Facility in Fond Du Lac, WI

Q: What is Blandine House Inc's NPI number?

The NPI number for Blandine House Inc is 1285922971. It was assigned to this organization in the NPPES registry on July 14, 2011.

Q: What is Blandine House Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since July 14, 2011CLIA 52D2212447 · Waiver

25 N PARK AVE, FOND DU LAC, WI 54935(920) 922-9487(920) 922-9184 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blandine House Inc NPPES

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

BLANDINE HOUSE INC (NPI 1285922971) is a healthcare organization registered as a substance abuse rehabilitation facility in Fond Du Lac, Wisconsin and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists James Colwin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285922971

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameBLANDINE HOUSE INC

Location Address25 N PARK AVEFond Du Lac, WI 54935-3501

Mailing Address25 N Park AveFond Du Lac, WI 54935-3501 · (920) 922-9487 · Fax (920) 922-9184

Phone(920) 922-9487

Fax(920) 922-9184

Organization SubpartNo

Authorized OfficialJames ColwinExecutive Director · (920) 922-9487

Enumeration DateJuly 14, 2011

✔ NPI 1285922971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in WI · 1068-800

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

25 N PARK AVE, Fond Du Lac, WI 54935

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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 52D2212447

Blandine House Inc · Fond Du Lac, WI

Active · expires Feb 3, 2027

CLIA Number52D2212447

Laboratory TypeSubstance Abust Tx

Certificate Effective DateFebruary 4, 2025

Certificate Expiration DateFebruary 3, 2027

Laboratory DirectorMs. Julie K. Feilbach

Laboratory Phone(920) 922-9487

Laboratory LocationBlandine House Inc25 N Park Ave, Fond Du Lac, WI 54935

CLIA data matches this NPI record on: Address Name 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 Blandine House Inc's NPI number?

The NPI number for Blandine House Inc is 1285922971. It was assigned to this organization in the NPPES registry on July 14, 2011.

Where is Blandine House Inc located?

Blandine House Inc is located at 25 N Park Ave, Fond Du Lac, WI 54935. The listed phone number is (920) 922-9487.

What is Blandine House Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Blandine House Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2212447) is associated with this NPI, valid through February 3, 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 Blandine House Inc was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.