Active NPI
Ablake Healthcare LLC
- In Home Supportive Care Agency
- Columbia, SC
National Provider Identifier
1356189302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ABLAKE HEALTHCARE LLC
- Practice address
- 1040 Wildwood Centre Dr Ste a
Columbia, SC 29229-8402 - Phone
- (843) 517-2809
- NPI assigned
- Jul 16, 2024
- Last updated
- May 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelsie Brianna Blakeney, RN
- Title
- Chief Executive Officer
- Phone
- (803) 465-0063
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Home Infusion Agency | 251F00000X | NU | ||
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Nursing Facility Supplies (DME) | 332BN1400X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary | |
| Meals Provider | 174200000X | NU |
Addresses
Primary practice location
1040 Wildwood Centre Dr Ste a
Columbia, SC 29229-8402
Mailing address
1040 Wildwood Centre Dr Ste a
Columbia, SC 29229-8402
National Provider Directory
National Provider DirectoryLocations
1122 Lady St
Ste 1313
Columbia, SC 29201
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Elgin, SC
- NPI 1700651577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1356189302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 WILDWOOD CENTRE DR STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 WILDWOOD CENTRE DR STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298402",
"telephone_number": "843-517-2809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABLAKE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-16",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "BLAKENEY",
"authorized_official_first_name": "KELSIE",
"authorized_official_middle_name": "BRIANNA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "803-465-0063",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.