Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Residential Inc

Organization Assisted Living Facility · NPI 1356174239

Blake Residential Inc is an Assisted Living Facility in Stockton, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9549 Twin Brooks Ln
Stockton, CA 95219-4931
Phone: (209) 905-6773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1356174239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mierra Blake — Ceo · (209) 905-6773
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address9549 Twin Brooks Ln, Stockton, CA 95219-4931

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