Michael Nobles Blackman

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

24015689 Issued in PA

Practice address

1700 W Tioga St # 201
Philadelphia, PA 19140-4936

Phone

(223) 400-9882

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Noble Blackman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• We Care First of Philadelphia

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1306586938
  NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1447912472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TIOGA ST # 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404936",
            "telephone_number": "223-400-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W TIOGA ST # 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404936",
            "telephone_number": "223-400-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "MICHAEL",
        "middle_name": "NOBLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "24015689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BLACKMAN",
            "middle_name": "NOBLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Blackburn
• Matthew Taylor Blackburn
• Simone Blackburn
• Nina A Blackhurst, D.M.D.
• Lisa Andrea Blackman, MA CCC-A
• Rachel Blackman
• Ryan Graham Blackman, D.O.
• Samuel Charles Blackman, MD, PHD
• Khary Blackmon, M.S
• Kisha Monique Blackmon

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.