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BLAKEY HALL ASSISTED LIVING, LLP
NPI 1619077781
Assisted Living Facility in Elon, NC

Active since September 25, 2006CLIA 34D2017399 · Waiver
501 BLAKEY HALL LN, ELON, NC 27244(336) 506-2310 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blakey Hall Assisted Living, Llp NPPES

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

BLAKEY HALL ASSISTED LIVING, LLP (NPI 1619077781) is a healthcare organization registered as an assisted living facility in Elon, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists John Ketcham, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1619077781
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBLAKEY HALL ASSISTED LIVING, LLP
Location Address501 BLAKEY HALL LNElon, NC 27244-7966
Mailing Address501 Blakey Hall LnElon, NC 27244-7966 · (336) 506-2310
Phone(336) 506-2310
Organization SubpartNo
Authorized OfficialJohn KetchamManaging Partner · (336) 506-2309
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 31, 2013
✔ NPI 1619077781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL 001 023
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.
501 BLAKEY HALL LN, Elon, NC 27244
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Other Identifiers 1

Medicaid7803824NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2017399

Blakey Hall Assisted Living And Blakey At The Cottage · Elon, NC
Active · expires Dec 9, 2026
CLIA Number34D2017399
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorEd Weeks
Laboratory Phone(336) 506-2300
Laboratory LocationBlakey Hall Assisted Living And Blakey At The Cottage501 Blakey Hall Lance, Elon, NC 27244
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Blakey Hall Assisted Living, LLP's NPI number?

The NPI number for Blakey Hall Assisted Living, LLP is 1619077781. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Blakey Hall Assisted Living, LLP located?

Blakey Hall Assisted Living, LLP is located at 501 Blakey Hall Ln, Elon, NC 27244. The listed phone number is (336) 506-2310.

What is Blakey Hall Assisted Living, LLP's specialty?

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

Does Blakey Hall Assisted Living, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017399) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blakey Hall Assisted Living, LLP was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.