CARL LEE BLACKBURN III
NPI 1912698887
Technician - Personal Care Attendant in Charleston, WV

Active since May 19, 2023
1622 RAVINIA RD, CHARLESTON, WV 25314(304) 356-0106 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, May 19, 2023 (2 updates tracked since 2023).

About Carl Lee Blackburn Iii NPPES

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

CARL LEE BLACKBURN III (NPI 1912698887) is an individual personal care attendant in Charleston, West Virginia and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1912698887
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameCARL LEE BLACKBURN III
Location Address1622 RAVINIA RDCharleston, WV 25314-1846
Mailing Address1622 Ravinia RdCharleston, WV 25314-1846 · (304) 356-0106
Sole ProprietorNo
Enumeration DateMay 19, 2023
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1912698887 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
1622 RAVINIA RD, Charleston, WV 25314

Other Providers at the Same Location NPPES

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

Technician (Personal Care Attendant)
1622 RAVINIA RD
CHARLESTON, WV 25314

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 Carl Blackburn's NPI number?

The NPI number for Carl Blackburn is 1912698887. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Carl Blackburn located?

Carl Blackburn practices at 1622 Ravinia Rd, Charleston, WV 25314. The listed phone number is (304) 356-0106.

What is Carl Blackburn'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 Carl Blackburn was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.