Active NPI
BLC Nohl Ranch, LLC
Doing business as Brookdale Nohl Ranch
- Assisted Living Facility
- Anaheim, CA
National Provider Identifier
1225653645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BLC NOHL RANCH, LLC
- Doing business as
- Brookdale Nohl Ranch
- Practice address
- 380 S Anaheim Hills Rd
Anaheim, CA 92807-4026 - Phone
- (714) 974-1616
- NPI assigned
- Jun 11, 2020
- Organization subpart
- Yes
- Parent organization
- BROOKDALE SENIOR LIVING INC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
380 S Anaheim Hills Rd
Anaheim, CA 92807-4026
Mailing address
380 S Anaheim Hills Rd
Anaheim, CA 92807-4026
Phone (714) 974-1616
Other names 1
- Brookdale Nohl Ranch
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2212241 | Brookdale Nohl Ranch | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider Directory- Part of
- Brookdale Senior Living Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1225653645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 S ANAHEIM HILLS RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074026",
"telephone_number": "714-974-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 S ANAHEIM HILLS RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074026",
"telephone_number": "714-974-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLC NOHL RANCH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"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 Nohl Ranch",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.