Organization Active NPI

BLC Nohl Ranch, LLC

Doing business as Brookdale Nohl Ranch

  • Assisted Living Facility
  • Anaheim, CA
National Provider Identifier
1225653645
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2212241Brookdale Nohl Ranch380 S Anaheim Hills Road, Anaheim, CA 92807Certificate of waiverFeb 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.

Verify at the official NPI Registry.