RANDY BLAND
NPI 1700423902
Respite Care - Respite Care, Mental Illness, Child in Goodyear, AZ

Q: What is Randy Bland's NPI number?

The NPI number for Randy Bland is 1700423902. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Q: What is Randy Bland's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

Q: When was this NPI record last updated?

The NPPES record for Randy Bland was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 06, 2019

14047 W MONTE VISTA RD, GOODYEAR, AZ 85395(480) 334-2092 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Oct 9, 2020, Dec 6, 2019 (3 updates tracked since 2019).

On this page

About Randy Bland NPPES

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

RANDY BLAND (NPI 1700423902) is an individual respite care, mental illness, child provider in Goodyear, Arizona, licensed in Arizona (10126301) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1700423902

Entity TypeIndividualMale

Primary Taxonomy385HR2055X

Provider Legal NameRANDY BLAND

Location Address14047 W MONTE VISTA RDGoodyear, AZ 85395

Mailing AddressIntermountain Centers For Human Development Inc., Po Box 86537Tucson, AZ 85754-6537

Phone(480) 334-2092

Sole ProprietorYes

Enumeration DateDecember 6, 2019

Last NPPES UpdateJune 29, 20213 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1700423902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility

Taxonomy Code385HR2055X

License✔ Licensed in AZ · 10126301

Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

14047 W MONTE VISTA RD, Goodyear, AZ 85395

Open in Google Maps ↗

Other Identifiers 2

Other10126301AZ · Az Dept Of Health Services

Other1700423902AZ · Therapeutic Foster Care

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 Randy Bland's NPI number?

The NPI number for Randy Bland is 1700423902. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Randy Bland located?

Randy Bland practices at 14047 W Monte Vista Rd, Goodyear, AZ 85395. The listed phone number is (480) 334-2092.

What is Randy Bland's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Randy Bland was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.