OrganizationActive
Blandine House Inc
NPI 1285922971 · Substance Abuse Rehabilitation Facility · Fond Du Lac, WI
Provider details
- NPI number
- 1285922971
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Colwin, Executive Director(920) 922-9487
- License
- 1068-800 (WI)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
25 N Park Ave
Fond Du Lac, WI 54935-3501
Phone: (920) 922-9487
Fax: (920) 922-9184
Street-level locationGet directions
Mailing address
25 N Park Ave
Fond Du Lac, WI 54935-3501
Registry dates
- Enumerated
- 2011-07-14
- Last updated
- 2011-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.