NPIMap

Organization Active NPI

Blake'S Mobile Care

  • Non-emergency Medical Transport (VAN)
  • Loganville, GA
National Provider Identifier
1801212964
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLAKE'S MOBILE CARE
Practice address
821 Kaitlyn Dr
Loganville, GA 30052-6928
Phone
(910) 977-8699
Fax
(770) 710-0862
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Wayne Blake
Title
Owner
Phone
(910) 977-8699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

821 Kaitlyn Dr
Loganville, GA 30052-6928

Mailing address

821 Kaitlyn Dr
Loganville, GA 30052-6928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1801212964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 KAITLYN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526928",
            "fax_number": "770-710-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KAITLYN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526928",
            "telephone_number": "910-977-8699",
            "fax_number": "770-710-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE'S MOBILE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-977-8699"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.