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Contact Information

BLACKHAWK PREMIER CARE INC
5140 BUSINESS CENTER DRIVE
SUITE 210
FAIRFIELD, CA94534
 Phone: 702-416-4270
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for BLACKHAWK PREMIER CARE INC

NPI Number 1104715358
LBN Legal business name BLACKHAWK PREMIER CARE INC
Authorized official TEMITOPE OMOTAYO - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2025
Last updated 11/13/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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