Blakely Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1652 Issued in OH

Legal business name

BLAKELY CARE CENTER INC

Practice address

600 Sterling Dr
North Baltimore, OH 45872

Phone

(419) 257-2421

Fax

(419) 257-2515

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Charles Blakely, LNHA

Title

Administrator/Owner

Phone

(419) 257-2421

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225039274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STERLING DR",
            "city": "NORTH BALTIMORE",
            "state": "OH",
            "postal_code": "45872",
            "telephone_number": "419-257-2421",
            "fax_number": "419-257-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STERLING DR",
            "city": "NORTH BALTIMORE",
            "state": "OH",
            "postal_code": "45872",
            "telephone_number": "419-257-2421",
            "fax_number": "419-257-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKELY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "419-257-2421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Nicole Allison, LPN
• Morgan Rhea Baltz
• Victoria Helen Barclay
• Susan Louise Best, RPH
• Aimee Lynn Blankenship, CDCA
• Ava Camille Christy, SLP
• Amy Dawn Clementz
• John T Coates, DO
• William Davis

• Skilled Nursing Facility in North Baltimore, OH
• Providers in North Baltimore, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.