BLC Atrium-Jacksonville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC ATRIUM-JACKSONVILLE, LLC

Doing business as

Atrium at Regency

Practice address

One Atrium Way
Jacksonville, FL 32225

Phone

(904) 724-4001

Fax

(904) 724-6690

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Co-President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Atrium at Regency Doing business as

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1285936070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ATRIUM WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-724-4001",
            "fax_number": "904-724-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC ATRIUM-JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-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": "Atrium at Regency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie C Blatz, APRN
• Hannah Blauw
• Destyni Blaylock, ARNP
• Blazing Star Conveyance, LLC
• BLC Atrium Jacksonville SNF LLC
• Amanda Bleak
• Curtis Michael Bleau, D.P.M.
• Richard M Blecha, MD
• Kristi Renee Bledsoe, PHARMD
• Jenna Blenker, BCBA

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 30, 2010; 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.