BLC Wellington - Fort Walton Beach, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC WELLINGTON - FORT WALTON BEACH, LLC

Practice address

233 Carmel Dr
Fort Walton Beach, FL 32547-1957

Phone

(850) 864-4600

NPI assigned

May 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Fort Walton Beach Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1114616612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145650",
            "telephone_number": "414-918-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CARMEL DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471957",
            "telephone_number": "850-864-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC WELLINGTON - FORT WALTON BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Fort Walton Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurel Blackerby
• Savannah Shirley Blacklidge, MS CY SLP
• Christian Constance Blackwell, RN MSN NP-C
• Blanca Peak Inpatient Services LLC
• Robert Neil Blanchard, MD
• BLC Westwood LLC
• Blessing Upon Blessing
• BLM First Assistant
• Susan Kay Block, N.P.
• Blue Job Emergency Physicians LLC

• Assisted Living Facility in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.