Organization Active NPI

Blakeley Enterprise Inc.

  • Assisted Living Facility
  • Stephenville, TX
National Provider Identifier
1154501674
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Deborah Pearline Blakeley
Title
Owner/Manager
Phone
(254) 965-4777

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 121518 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1161 N Neblett St
Stephenville, TX 76401-2351

Mailing address

1161 N Neblett St
Stephenville, TX 76401-2351
Phone (254) 965-4777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2008.

{
    "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": []
}

Other providers in Stephenville, TX

Sources for this page

  • 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.