THE BLAKE AT KINGSPORT OPERATING CO, LLC (NPI# 1669026340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669026340 |
| Entity Type | Organization |
| Organization Name | THE BLAKE AT KINGSPORT OPERATING CO, LLC |
| Practice Address |
915 Holston Hills Dr Kingsport TN 37664-4166 |
| Practice Telephone | 4232461100 |
| Mailing Telephone | 4232461100 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | JESSICA NICOLE BRIGGS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4232461100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
915 HOLSTON HILLS DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174085112 | Tennessee Physical Therapy Services of Kingsport, LLC | Occupational Therapist | 915 Holston Hills Dr, Kingsport, TN 37664-4166 | 2019-04-01 |
| 1750923066 | Ashley Vitrano Federico | Physical Therapist | 915 Holston Hills Dr, Kingsport, TN 37664-4167 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639475478 | Preston Place Suites | Assisted Living Facility | 2001 N John B Dennis Hwy, Kingsport, TN 37660-5910 | 2011-01-26 |
| 1518263359 | Preston Place II | Assisted Living Facility | 2303 N John B Dennis Hwy, Kingsport, TN 37660-4771 | 2011-01-26 |
| 1821320268 | Emeritus Corporation | Assisted Living Facility | 2424 N John B Dennis Hwy, Kingsport, TN 37660-5888 | 2010-02-10 |
| 1144437716 | Wellmont Health System | Assisted Living Facility | 2000 Greenway St, Kingsport, TN 37660-3020 | 2007-05-16 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1881790277 | Rgl Development, LLC | Assisted Living Facility | 2424 John B Dennis Highway, Kingsport, TN 37660 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061141 | Morning Pointe Assisted Living | Assisted Living Facility | 324 Mount Bethel Rd, Greeneville, TN 37745-6346 | 2020-10-23 |
| 1467069807 | Goodlettsville Al Mc Care Properties, LLC | Assisted Living Facility | 322 Northcreek Blvd, Goodlettsville, TN 37072-1998 | 2020-09-29 |
| 1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1275161200 | Mcclain Properties, LLC | Assisted Living Facility | 1320 Bellshire Terrace Dr, Nashville, TN 37207-1734 | 2020-03-27 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1104461383 | Denise Senior Living | Assisted Living Facility | 1016 Charlie Daniels Pkwy, Mt Juliet, TN 37122-3064 | 2019-11-12 |
| 1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
| 1316595085 | Snh Tenn Tenant LLC | Assisted Living Facility | 1010 E Spring St, Cookeville, TN 38501-3651 | 2019-08-27 |
| 1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.