EBONY BLAYLOCK (NPI# 1124610951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124610951 |
| Entity Type | Individual |
| Full Name | EBONY BLAYLOCK |
| Gender | Female |
| Practice Address | 13700 Veterans Memorial Dr Ste 450 Houston TX 77014-1034 |
| Practice Telephone | 2815084466 |
| Mailing Address | 13700 Veterans Memorial Dr Ste 450 Houston TX 77014-1034 |
| Certification Date | 2021-02-03 |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address | 13700 VETERANS MEMORIAL DR STE 450 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77014-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639761331 | Stephanie Hafford-Williams | Case Manager/Care Coordinator | 13700 Veterans Memorial Dr Ste 450, Houston, TX 77014-1034 | 2021-02-04 |
| 1720670417 | Arshadia Henderson | Case Manager/Care Coordinator | 13700 Veterans Memorial Dr Ste 450, Houston, TX 77014-1034 | 2021-02-04 |
| 1417549247 | Amaris Sanchez | Case Manager/Care Coordinator | 13700 Veterans Memorial Dr Ste 450, Houston, TX 77014-1034 | 2021-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150880 | Tiffanie L. James | Counselor · Professional | 14405 Walters Rd Suite 604, Houston, TX 77014 | 2020-06-30 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1073018768 | V & V Medical Management · Clinica Familia Y Salud | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1679072649 | Ebony Burton | Behavior Technician | 3845 Cypress Creek Prkwy 215, Houston, TX 77014 | 2018-02-06 |
| 1457860108 | Henry A. Donald IIi | Assisted Living Facility | 2802 Wisner Cir., Houston, TX 77014 | 2017-09-26 |
| 1124567367 | Champions Serene Hcs, LLC · Stepping Stones Serene Assisted Living Facility | Assisted Living Facility | 13606 Walters Rd. Bldg 1-6 A-B, Houston, TX 77014 | 2017-02-21 |
| 1801338322 | P, M, & R Specialists of Texas | Psychologist | 14405 Walters, Ste A, Houston, TX 77014 | 2016-11-15 |
| 1720451271 | Stepping Stones Trasitional Living and Support Services | Custodial Care Facility · Adult Care Home | 13610 Walters Rd., Ste A, Houston, TX 77014 | 2015-11-05 |
| 1881077766 | Erin Cleveland | Pharmacist | 15655 Cypress Woods Med Dr, Suite #150, Houston, TX 77014 | 2015-07-09 |
| 1669879573 | Jacal & Associates · Jacal & Associates | Counselor · Mental Health | 14405 Walters Rd., Ste. 602, Houston, TX 77014 | 2014-11-21 |
| Find all providers in zip 77014 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942891890 | Second Start Home Care, LLC | 6201 Bonhomme Rd Ste 362n, Houston, TX 77036-4424 | 2021-02-02 | |
| 1508462284 | Rhemy C Forte' | 3448 Coyle St Apt 3402, Houston, TX 77003-5442 | 2020-12-08 | |
| 1881216752 | Mental Health Care Solutions LLC | 2040 North Loop W Ste 370, Houston, TX 77018-8140 | 2020-05-13 | |
| 1639790124 | Simone Warner | 350 Belway 8, Houston, TX 77060 | 2020-05-06 | |
| 1013538677 | Porshia D Coleman | 350 N Sam Houston Pkwy E Ste 238, Houston, TX 77060-3320 | 2020-05-05 | |
| 1659907129 | Debrilya Williams | 2500 E T C Jester Blvd Ste 178, Houston, TX 77008-1449 | 2020-03-17 | |
| 1720611387 | Paula Free | 2828 Bammel Ln Apt 811, Houston, TX 77098-1146 | 2020-02-21 | |
| 1922639335 | Light House Case Management | 14510 Gable Mountain Cir, Houston, TX 77090-2333 | 2020-02-04 | |
| 1881224004 | Allyson Buckner | 7373 Ardmore St Apt 1286, Houston, TX 77054-4223 | 2020-01-16 | |
| 1861030090 | Jairus Demond Scott | 12526 Greencanyon Dr, Houston, TX 77044-7247 | 2019-12-18 | |
| Find all providers in HOUSTON | ||||
| City | HOUSTON |
| Zip Code | 77014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861542763 | Robert Vinson Blaylock · Bob Blaylock | Social Worker · Clinical | 861 Corporate Dr, Suite 103, Lexington, KY 40503-5432 | 2007-01-11 |
| 1861718520 | De-Andrea Blaylock-Johnson · De-Andrea Leslie Blaylock | Social Worker · Clinical | 10176 Corporate Square Dr, Suite 100-S, Saint Louis, MO 63132-2924 | 2010-04-20 |
| 1760931836 | Brandon Blaylock · Robert Brandon Blaylock | Specialist/Technologist, Other · Electroneurodiagnostic | 9777 W Gulf Bank Rd, Suite 5, Houston, TX 77040-3132 | 2016-09-29 |
| 1669614160 | Alisha Michele Blaylock · A. Michele Blaylock | Registered Nurse | 200 W Fairview Ave, Johnson City, TN 37604-5611 | 2009-03-30 |
| 1396709960 | Nancy Blaylock Citty · Nancy E Blaylock | Social Worker · Clinical | 118 Westfield Rd, Knoxville, TN 37919 | 2006-04-12 |
| 1366954802 | Christopher Thomas Blaylock · Christopher Thomas Blaylock | Perfusionist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-24 |
| 1336798511 | Ebony L Johnson · Ebony L Marshall | Physical Therapist | 1115 Fairgrounds Rd, Jefferson City, MO 65109-5443 | 2019-09-10 |
| 1942717665 | Ebony C Coleman · Ebony Fortier | Nurse Practitioner · Pediatrics | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2018-01-03 |
| 1801426689 | Ebony Hawkins · Ebony Thissel | Doula | 6512 S 106th East Pl Apt 297, Tulsa, OK 74133-1545 | 2020-01-22 |
| 1053677633 | Ebony M Gladding · Ebony Mcdaniel | Counselor | 141 East Main Street, Waterbury, CT 06710-1701 | 2012-04-08 |
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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.