BKD Charleston South Carolina, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BKD CHARLESTON SOUTH CAROLINA, LLC

Doing business as

Brookdale West Ashley

Practice address

2030 Charlie Hall Blvd
Charleston, SC 29414-5830

Phone

(843) 763-4055

Fax

(843) 763-4056

NPI assigned

Sep 16, 2020

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Authorized official

Name

Joanne K Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale West Ashley Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1144836164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-763-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145830",
            "telephone_number": "843-763-4055",
            "fax_number": "843-763-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD CHARLESTON SOUTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "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 West Ashley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Ann Bissette, ANP
• Robin Louise Bissinger, NNP
• Elspeth Bittle, MD
• Darrin E Bizal, NNP
• Nour-Azza Bizri
• Devin Elise Black-Dias, MSW, LISW-CP
• Caitlin R Black, RN,BSN
• Elizabeth Ray Black
• Leigh Ann Black, PT
• Robert J Black, OD

• Assisted Living Facility in Charleston, SC
• Providers in Charleston, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.