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MICHAEL LEEROY BLAKE
NPI 1922729094
Technician - Personal Care Attendant in Glendale, WV

Active since September 07, 2022
27 BOULDER RD, GLENDALE, WV 26038(304) 650-1797 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Leeroy Blake NPPES

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

MICHAEL LEEROY BLAKE (NPI 1922729094) is an individual personal care attendant in Glendale, West Virginia and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1922729094
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMICHAEL LEEROY BLAKE
Location Address27 BOULDER RDGlendale, WV 26038
Mailing Address27 Boulder RdGlendale, WV 26038 · (304) 650-1797
Phone(304) 650-1797
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1922729094 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
27 BOULDER RD, Glendale, WV 26038
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Other Identifiers 3

Medicaid1356607394WV
Medicaid125553494WV
Medicaid1821206228WV

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 Michael Blake's NPI number?

The NPI number for Michael Blake is 1922729094. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Michael Blake located?

Michael Blake practices at 27 Boulder Rd, Glendale, WV 26038. The listed phone number is (304) 650-1797.

What is Michael Blake'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 Michael Blake was last updated on September 7, 2022. 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.