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BLAKE RESIDENTIAL INC
NPI 1356174239
Assisted Living Facility in Stockton, CA

Active since August 26, 2024
9549 TWIN BROOKS LN, STOCKTON, CA 95219(209) 905-6773 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Residential Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE RESIDENTIAL INC (NPI 1356174239) is a healthcare organization registered as an assisted living facility in Stockton, California and active in the NPI registry since August 2024. The organization lists Mierra Blake, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356174239
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLAKE RESIDENTIAL INC
Location Address9549 TWIN BROOKS LNStockton, CA 95219-4931
Mailing Address9549 Twin Brooks LnStockton, CA 95219-4931 · (209) 905-6773
Phone(209) 905-6773
Organization SubpartNo
Authorized OfficialMierra BlakeCeo · (209) 905-6773
Enumeration DateAugust 26, 2024
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1356174239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
9549 TWIN BROOKS LN, Stockton, CA 95219
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Residential Inc's NPI number?

The NPI number for Blake Residential Inc is 1356174239. It was assigned to this organization in the NPPES registry on August 26, 2024.

Where is Blake Residential Inc located?

Blake Residential Inc is located at 9549 Twin Brooks Ln, Stockton, CA 95219. The listed phone number is (209) 905-6773.

What is Blake Residential Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Blake Residential Inc was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.