1568171833 NPI number — MR. JORDEN DENEIL BLAKELY OWNER

Table of content: MR. JORDEN DENEIL BLAKELY OWNER (NPI 1568171833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568171833 NPI number — MR. JORDEN DENEIL BLAKELY OWNER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLAKELY
Provider First Name:
JORDEN
Provider Middle Name:
DENEIL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
OWNER
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BLAKELY
Provider Other First Name:
JORDEN
Provider Other Middle Name:
DENEIL
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1568171833
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6805 MAYFIELD RD APT 606
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYFIELD HEIGHTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44124-2252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-801-5494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6805 MAYFIELD RD APT 606
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYFIELD HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44124-2252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-801-5494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 376J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 92-0390919 . This is a "HOMECARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".