NPIMap

Organization Active NPI

Blake Home Health Care LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1679127138
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLAKE HOME HEALTH CARE LLC
Practice address
4926 Ridgeley Dr Ste B
Charlotte, NC 28208-1451
Phone
(704) 910-0073
Fax
(704) 910-0055
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Mr. Nolan Scott BlakeNPI 1912567041
Title
Owner
Phone
(704) 910-0073

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4926 Ridgeley Dr Ste B
Charlotte, NC 28208-1451

Mailing address

4926 Ridgeley Dr Ste B
Charlotte, NC 28208-1451
Phone (704) 910-0073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1679127138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 RIDGELEY DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282081451",
            "telephone_number": "704-910-0073",
            "fax_number": "704-910-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 RIDGELEY DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282081451",
            "telephone_number": "704-910-0073",
            "fax_number": "704-910-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-910-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.