Healthcare Provider Details

I. General information

NPI: 1649870551
Provider Name (Legal Business Name): BLICK CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 WHITE POND DR
AKRON OH
44320-1118
US

IV. Provider business mailing address

274 WHITE POND DR
AKRON OH
44320-1118
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-5425
  • Fax:
Mailing address:
  • Phone: 330-762-5425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JAN N PHILLIPS
Title or Position: BILLING MGR
Credential:
Phone: 330-762-5425