OrganizationActive
The Blake at Charlottesville Services, LLC
NPI 1679265482 · Assisted Living Facility (Behavioral Disturbances) · Charlottesville, VA
Provider details
- NPI number
- 1679265482
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Ter Borg, Executive Director(434) 973-7900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
250 Nichols Court
Charlottesville, VA 22901
Phone: (434) 973-7900
Fax: (434) 328-7315
Approximate (ZIP-level) locationGet directions
Mailing address
250 Nichols Court
Charlottesville, VA 22901
Other names (DBA / former)
- Former legal business name
- The Blake at Charlottesville, LLC
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.