SUSAN RAYE BLACKA
NPI 1710597810
Technician - Personal Care Attendant in Maysville, WV

Q: What is Susan Blacka's NPI number?

The NPI number for Susan Blacka is 1710597810. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Susan Blacka's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Susan Blacka was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 04, 2020

12913 JORDAN RUN RD, MAYSVILLE, WV 26833(304) 749-7986 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 8, 2021, Aug 4, 2020 (2 updates tracked since 2020).

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About Susan Raye Blacka NPPES

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

SUSAN RAYE BLACKA (NPI 1710597810) is an individual personal care attendant in Maysville, West Virginia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1710597810

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameSUSAN RAYE BLACKA

Location Address12913 JORDAN RUN RDMaysville, WV 26833-8509

Mailing Address12913 Jordan Run RdMaysville, WV 26833-8509 · (304) 749-7986

Phone(304) 749-7986

Sole ProprietorNo

Enumeration DateAugust 4, 2020

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1710597810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

12913 JORDAN RUN RD, Maysville, WV 26833

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAGE MICHAEL WILSON

Technician (Personal Care Attendant)

12913 JORDAN RUN RD
MAYSVILLE, WV 26833

Grant County (304) 749-7986

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 Susan Blacka's NPI number?

The NPI number for Susan Blacka is 1710597810. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Susan Blacka located?

Susan Blacka practices at 12913 Jordan Run Rd, Maysville, WV 26833. The listed phone number is (304) 749-7986.

What is Susan Blacka's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Susan Blacka was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.