OrganizationActive
Blackwell House Inc.
NPI 1083919518 · Mental Illness Community Based Residential Treatment Facility · Greensboro, NC
Provider details
- NPI number
- 1083919518
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latonya Tinnin, Qualified Professional/ Director(336) 350-5492
- License
- 041-997 (NC)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2805 N Ohenry Blvd
Greensboro, NC 27405-4631
Phone: (336) 375-3121
Street-level locationGet directions
Mailing address
2805 N Ohenry Blvd
Greensboro, NC 27405-4631
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2011-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.