NPIMap

Organization Active NPI

Blake Home Health Agency

  • In Home Supportive Care Agency
  • Newport News, VA
National Provider Identifier
1215457254
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO171615 Issued in VA
Legal business name
BLAKE HOME HEALTH AGENCY
Practice address
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone
(757) 926-5241
Fax
(888) 314-9510
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Mrs. Dionne Jackson
Title
Director
Phone
(804) 545-1974

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO171615 VA Primary
Respite Care 385H00000X HCO171615 VA

Addresses

Primary practice location

11815 Fountain Way Ste 300
Newport News, VA 23606-4448

Mailing address

5709 S Laburnum Ave
Richmond, VA 23231-4420
Phone (804) 545-1974

Other names 1

  • Blake Home Health Agency Other name

National Provider Directory

National Provider Directory
Tax ID family
Blake Educational Center Home Health Agencty3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1215457254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232314420",
            "telephone_number": "804-545-1974",
            "fax_number": "888-314-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 FOUNTAIN WAY STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064448",
            "telephone_number": "757-926-5241",
            "fax_number": "888-314-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-545-1974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO171615",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO171615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blake Home Health Agency",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blake Home Health Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.