Individual provider Active NPI

Cecelia Irene Blackston, MBA

  • Attendant Care Provider
  • Huntingdon Valley, PA
National Provider Identifier
1073781993
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
67 Buck Rd
Huntingdon Valley, PA 19006-1535
Phone
(610) 879-6423
Fax
(267) 988-8981
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

67 Buck Rd
Huntingdon Valley, PA 19006-1535

Mailing address

PO Box 1401
Bensalem, PA 19020-5401
Phone (610) 879-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Care LLC Current Accepting new patients
Compassionate Health Care Inc. a Home Health Agency CurrentSince Nov 17, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1073781993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1401",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205401",
            "telephone_number": "610-879-6423",
            "fax_number": "267-988-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BUCK RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061535",
            "telephone_number": "610-879-6423",
            "fax_number": "267-988-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTON",
        "first_name": "CECELIA",
        "middle_name": "IRENE",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.