KOLISHA BLAKE RN
NPI 1578445367
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Margate, FL

Active since July 22, 2025
6560 NW 11TH ST, MARGATE, FL 33063(954) 889-4967 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kolisha Blake Rn NPPES

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

KOLISHA BLAKE RN (NPI 1578445367) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Margate, Florida and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1578445367
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameKOLISHA BLAKECredential: RN
Location Address6560 NW 11TH STMargate, FL 33063-3510
Mailing Address705 Sw 51st AveMargate, FL 33068-3045 · (954) 889-4967
Sole ProprietorYes
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1578445367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6560 NW 11TH ST, Margate, FL 33063

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 Kolisha Blake's NPI number?

The NPI number for Kolisha Blake is 1578445367. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Kolisha Blake located?

Kolisha Blake practices at 6560 NW 11th St, Margate, FL 33063. The listed phone number is (954) 889-4967.

What is Kolisha Blake's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kolisha Blake was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.