BLC-Brookdale Place of San Marcos, L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC-BROOKDALE PLACE OF SAN MARCOS, L.P.

Practice address

1590 W San Marcos Blvd
San Marcos, CA 92078-4076

Phone

(760) 471-9904

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Anna Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale San Marcos 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": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1235969023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 W SAN MARCOS BLVD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784076",
            "telephone_number": "760-471-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 W SAN MARCOS BLVD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784076",
            "telephone_number": "760-471-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC-BROOKDALE PLACE OF SAN MARCOS, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale San Marcos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Blackmer-Hart
• Benjamin K Blake, MFT, MA
• Jacelis Bland, PMHNP
• Douglas A Blaney, PT
• Kathleen Carol Blattner, N.P.
• Megan Block
• Natalie Blue
• Jennifer Michelle Blum, LCSW
• Lorraine Michelle Bock
• Laura Ann Bodrogi, LVN

• Assisted Living Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.