Blake Resources LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLAKE RESOURCES LLC

Practice address

1000 Baxter St
Charlotte, NC 28204-2859

Phone

(704) 231-3191

Fax

(888) 463-6116

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Grace Smith

Title

Principal

Phone

(704) 231-3191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1750666756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 FRANK LITTLE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692137",
            "telephone_number": "704-231-3191",
            "fax_number": "888-463-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BAXTER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042859",
            "telephone_number": "704-231-3191",
            "fax_number": "888-463-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "704-231-3191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Blair, PA
• Angela Michelle Blair, P.T.
• Jemarian Chantinel Blair
• Judith Blaise
• Blake Home Health Care LLC
• Bria Nikole Williams Blake, MD
• Candler Kimsey Blake, MD
• Charlene Blake
• Elana Blake, LCSWA
• Erin Blake, LMT

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.