Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BLACKSTONE SR.
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · OMAHA, NE
Registration Details
- NPI Number
- 1881481265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2025 (1.0018677913517 yrs)
- Last Updated
- Apr 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
9012 Q STOMAHA, NE, 681273549Browse NE providers · Browse ZIP 68127
- Phone
- 4023151000
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| JOSH LEWIS | — | 1821893926 |
| ROBIN ASHLEY HARRIS | — | 1316743347 |
| QUANITA M WILLIAMS I | — | 1376341073 |
| CORY CHILES | — | 1003605627 |
| JERECIA DEVEREAUX | — | 1306635081 |
| TAYLOR GRESHAM | — | 1679362354 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.