Blackmon Care Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLACKMON CARE HOME CARE

Practice address

10 Roxbury Dr
Little Rock, AR 72209-2133

Phone

(501) 256-6203

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Lonzell Blackmon, OWNERNPI 1740793231

Title

Owner

Phone

(501) 256-6203

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

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

• Lonzell Blackmon

  • Driver
  • Little Rock, AR
  • NPI 1740793231
  NPD Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1801445267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722031383",
            "telephone_number": "501-256-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROXBURY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722092133",
            "telephone_number": "501-256-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMON CARE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "LONZELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-256-6203",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233644797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233639732",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@blackmoncareservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Roxbury Dr",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722092133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Black, MHPP
• Nan Monroe Black, D.D.S.
• Ronda Black
• Sherry Black, APN
• Hannah Blackketter
• Blackmon Chiropractic Clinic, P.a.
• Christopher Royse Blackmon, D.C.
• Jamar Darnell Blackmon, MHPP
• Lasonjia Denise Blackmon
• Lonzell Blackmon

• All providers in Little Rock, AR
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.