SUSAN RAYE BLACKA (NPI# 1710597810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710597810 |
| Entity Type | Individual |
| Full Name | SUSAN RAYE BLACKA |
| Practice Address |
12913 Jordan Run Rd Maysville WV 26833-8509 |
| Practice Telephone | 3047497986 |
| Mailing Telephone | 3047497986 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
12913 JORDAN RUN RD |
| City | MAYSVILLE |
| State | WV |
| Zip Code | 26833-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883711 | Susan Ann Thorne | Technician | 1380 Big Run Rd, Maysville, WV 26833 | 2020-08-28 |
| 1205169133 | Maysville Volunteer Fire Company | Ambulance | Route 42, Maysville, WV 26833 | 2009-09-10 |
| 1174135511 | Linda Vanmeter | Technician | 533 High Valley Way, Maysville, WV 26833-7000 | 2020-08-18 |
| 1770195968 | Chassidy George | Technician | 10 Lois Ln, Maysville, WV 26833-7618 | 2020-08-19 |
| 1316451347 | Thelma Louise Rohrbaugh | Technician | 262 Death Valley Rd, Maysville, WV 26833-8136 | 2017-11-29 |
| 1639780372 | Crystal Lynn Harvey-rexroad | Technician | 130 Sugarcamp Dr, Maysville, WV 26833-8633 | 2020-08-15 |
| 1134730328 | Aleisha Diann Goldizen | Technician | 214 Sugarcamp Dr, Maysville, WV 26833-8634 | 2020-08-12 |
| 1649886987 | Patricia Long | Technician | 61 Barger Holw, Maysville, WV 26833-8658 | 2020-09-22 |
| 1649882598 | Ronna Lynn Goldizen | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-08-21 |
| 1043824386 | Breanna Faith Holley | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-09-03 |
| Find all providers in zip 26833 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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 |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886987 | Patricia Long | Technician | 61 Barger Holw, Maysville, WV 26833-8658 | 2020-09-22 |
| 1649883711 | Susan Ann Thorne | Technician | 1380 Big Run Rd, Maysville, WV 26833 | 2020-08-28 |
| 1649882598 | Ronna Lynn Goldizen | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-08-21 |
| 1770195968 | Chassidy George | Technician | 10 Lois Ln, Maysville, WV 26833-7618 | 2020-08-19 |
| 1174135511 | Linda Vanmeter | Technician | 533 High Valley Way, Maysville, WV 26833-7000 | 2020-08-18 |
| 1639780372 | Crystal Lynn Harvey-rexroad | Technician | 130 Sugarcamp Dr, Maysville, WV 26833-8633 | 2020-08-15 |
| 1134730328 | Aleisha Diann Goldizen | Technician | 214 Sugarcamp Dr, Maysville, WV 26833-8634 | 2020-08-12 |
| 1316451347 | Thelma Louise Rohrbaugh | Technician | 262 Death Valley Rd, Maysville, WV 26833-8136 | 2017-11-29 |
| 1225277163 | Wilson's Home Care Agency, Inc. | Technician | 506 Main St., Maysville, NC 28555-0331 | 2009-02-17 |
| 1043824386 | Breanna Faith Holley | Technician | 138 Big Run Rd, Maysville, WV 26833-8672 | 2020-09-03 |
| Find all providers in MAYSVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.