Latoya Blake
Individual provider Active NPI Home Health Agency · Portland, TN
NPI 1336658707 · NPPES record last updated Sep 28, 2017
Key facts
- NPI
- 1336658707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 104 Elise LN
Portland, TN 37148-2200 - Phone
- (615) 440-0127
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
104 Elise LN
Portland, TN 37148-2200
Mailing address
104 Elise LN
Portland, TN 37148-2200
Phone (615) 440-0127
Other providers in Portland, TN
- Verna Bain
- Timothy Wayne Bandy
- Gary Todd Barker
- Chrystall Faye Beitel
- Stephanie Bentley
- Joshua Bland
- Lester Steve Blevins
- Donald W Blocker
- Trevor Benjamin Brandt
- Sancia Renee Brooks
All providers in Portland, TN · Home Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.