The Blake at Kingsport Operating Co, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE BLAKE AT KINGSPORT OPERATING CO, LLC

Practice address

915 Holston Hills Dr
Kingsport, TN 37664-4166

Phone

(423) 246-1100

NPI assigned

Jul 30, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Nicole Briggs

Title

Executive Director

Phone

(423) 246-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1669026340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HOLSTON HILLS DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644166",
            "telephone_number": "423-246-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HOLSTON HILLS DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644166",
            "telephone_number": "423-246-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLAKE AT KINGSPORT OPERATING CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-246-1100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.