Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackwell House Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1083919518

Blackwell House Inc is a Mental Illness Community Based Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 N Ohenry Blvd
Greensboro, NC 27405-4631
Phone: (336) 375-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 041-997 (NC)

Record details

NPI number1083919518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latonya Tinnin — Qualified Professional/ Director · (336) 350-5492
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJanuary 13, 2011
Mailing address2805 N Ohenry Blvd, Greensboro, NC 27405-4631

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