Healthcare Provider Details

I. General information

NPI: 1104715358
Provider Name (Legal Business Name): BLACKHAWK PREMIER CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 BUSINESS CENTER DR STE 210
FAIRFIELD CA
94534-1794
US

IV. Provider business mailing address

5140 BUSINESS CENTER DR STE 210
FAIRFIELD CA
94534-1794
US

V. Phone/Fax

Practice location:
  • Phone: 702-416-4270
  • Fax:
Mailing address:
  • Phone: 707-639-8224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TEMITOPE OMOTAYO
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 702-416-4270