Blakeley Enterprise Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

121518 Issued in TX

Legal business name

BLAKELEY ENTERPRISE INC.

Practice address

1161 N Neblett St
Stephenville, TX 76401-2351

Phone

(254) 965-4777

Fax

(254) 965-4714

NPI assigned

Nov 13, 2007

Last updated

Jun 18, 2008By 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

Mrs. Deborah Pearline Blakeley

Title

Owner/Manager

Phone

(254) 965-4777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1154501674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N NEBLETT ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012351",
            "telephone_number": "254-965-4777",
            "fax_number": "254-965-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 N NEBLETT ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012351",
            "telephone_number": "254-965-4777",
            "fax_number": "254-965-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKELEY ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BLAKELEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "PEARLINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "254-965-4777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "121518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Benson
• Donald E Benson, MD
• Jeffrey Bierman, PT
• Allyson Black
• Robert Mark Blackburn, PT
• Melissa Lynne Blue, FNP
• Izaiah Bogs
• Hayley Booker
• David Boucher, MD
• Kara Bourland, RDN

• Assisted Living Facility in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.