Provider Demographics
NPI:1093687436
Name:BLAIR HOMES
Entity type:Organization
Organization Name:BLAIR HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FIDELIS
Authorized Official - Middle Name:I
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-224-8553
Mailing Address - Street 1:5001 NW 34TH BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-1190
Mailing Address - Country:US
Mailing Address - Phone:352-224-8553
Mailing Address - Fax:352-519-5796
Practice Address - Street 1:9 FIR TRAIL PASS
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-4194
Practice Address - Country:US
Practice Address - Phone:352-224-8553
Practice Address - Fax:352-519-5796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty