JAMES BLAKE (NPI# 1770016222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770016222 |
| Entity Type | Individual |
| Full Name | JAMES BLAKE |
| Practice Address |
11 White Feather Ln Palm Coast FL 32164-3915 |
| Practice Telephone | 3864452111 |
| Mailing Telephone | 3864452111 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621093 | James Blake | Specialist/Technologist | 2126 N 18th St, Philadelphia, PA 19121-1623 | 2018-08-29 |
| 1871517847 | James M. Blake | Dentist | 6185 S Park Ave, Hamburg, NY 14075-3846 | 2006-07-26 |
| 1881616191 | James Davis Blake | Family Medicine | 3081 Lorna Rd, Suite 101, Hoover, AL 35216-4579 | 2006-07-24 |
| 1871039214 | James E Blake | Counselor | 885 E Buchtel Ave, Akron, OH 44305-2338 | 2017-01-09 |
| 1760524417 | James W Blake | Internal Medicine | 3601 W 13 Mile Rd, Division of Cardiology, Royal Oak, MI 48073-6712 | 2007-02-12 |
| 1073692414 | James Alan Blake | Internal Medicine | 133 E 58th St, Suite 301/304, New York, NY 10022-1236 | 2006-11-05 |
| 1720176381 | James Steven Blake | Internal Medicine | 6827-31 Germantown Avenue, Philadelphia, PA 19119 | 2006-10-10 |
| 1346341609 | James Blake Jr. | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-09-26 |
| 1033149539 | James M Blake | Internal Medicine | 820 Bestgate Road, Suite 2a, Annapolis, MD 21401 | 2006-07-03 |
| 1679519847 | James Joseph Blake | Emergency Medicine | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2006-06-22 |
| Street Address |
11 WHITE FEATHER LN |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532342 | Tranquility Senior Care Incorporation | Custodial Care Facility | 17 Fort Caroline Ln, Palm Coast, FL 32137-8443 | 2018-06-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1093183683 | Darnella Sims | Custodial Care Facility | 184 Bayside Dr, Palm Coast, FL 32137-8879 | 2015-09-13 |
| 1124443221 | Raymond Bonner Jr. | Custodial Care Facility | 1 Lake Placid Ln, Palm Coast, FL 32137-9505 | 2014-02-26 |
| 1982047460 | Musko, Cindy L. | Custodial Care Facility | 10b Prosperity Ln, Palm Coast, FL 32164-7409 | 2013-04-15 |
| 1063581486 | Gabriela Pellosmaa | Custodial Care Facility | 102 Rae Dr, Palm Coast, FL 32164-6894 | 2006-11-07 |
| 1689114019 | One Family Home Health Care | Custodial Care Facility | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2017-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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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.