4everblazin Ent LLC
Case Management in Rochester, NY. Organization (NPI-2).
NPI number1770404063
StatusActive
Last updated in NPPESOct 27, 2026
Details
- NPI
- 1770404063
- Entity type
- Organization (NPI-2)
- Legal business name
- 4everblazin Ent LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2026
- Certification date
- Oct 27, 2026
- Last updated
- Oct 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 175T00000X | Peer Specialist | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
1443 - 1449 E Main St # A22Rochester, NY 14609-7003
Phone 585-353-4857
Mailing address
Po Box 26333Rochester, NY 14626-0333
Phone 585-353-4857
Authorized official
Insha Alston
Owner
5853534857
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