Organization Active NPI

Blakes Income Tax Services

  • Assisted Living Facility (Mental Illness)
  • Bronx, NY
National Provider Identifier
1043679384
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
300577 Issued in NY
Legal business name
BLAKES INCOME TAX SERVICES
Practice address
4509 White Plains Road
Bronx, NY 10470
Phone
(718) 994-8460
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lloyd Blake
Title
Preparer
Phone
(718) 994-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 300577 NY Primary

Addresses

Primary practice location

4509 White Plains Road
Bronx, NY 10470

Mailing address

4509 White Plains Road
Bronx, NY 10470
Phone (718) 994-8460

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1043679384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WHITE PLAINS ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10470",
            "telephone_number": "718-994-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 WHITE PLAINS ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10470",
            "telephone_number": "718-994-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKES INCOME TAX SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "PREPARER",
        "authorized_official_telephone_number": "718-994-8460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NY",
            "license": "300577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.