Blake in Home Health Service LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

BLAKE IN HOME HEALTH SERVICE LLC

Practice address

7220 N Lindbergh Blvd # 210
Hazelwood, MO 63042-2019

Phone

(314) 224-8411

NPI assigned

Jul 11, 2018

Last updated

Feb 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Evertt Blake Sr., DO

Title

Owner

Phone

(314) 243-6745

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1063998276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD # 210",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-224-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD # 210",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-224-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE IN HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EVERTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-243-6745",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Life Consumer Direct Service LLC
• BFT Holding Corp. (Bringing Families Together)
• Laura A Biggs
• Arriel Bivens
• Blake Community Direct Services, Incorporated
• Ryan Michael Blechle
• Blessed Non-Emergency Medical Transportation LLC (Blessed NEMT)
• Bloom Incorporated
• Blue Chip Home Health Services
• Joyce Boehmer, M.D.

• Home Health Registered Nurse in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Home Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.