BLC Atrium Jacksonville SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1648096 Issued in FL

Legal business name

BLC ATRIUM JACKSONVILLE SNF LLC

Doing business as

Brookdale Atrium Way 2

Practice address

9960 Atrium Way
Jacksonville, FL 32225-6487

Phone

(904) 724-4726

NPI assigned

Oct 3, 2006

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

Ms. Joanne K Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 2

Addresses

Other names 1

• Brookdale Atrium Way 2 Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1316031263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 ATRIUM WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256487",
            "telephone_number": "904-724-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 ATRIUM WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256487",
            "telephone_number": "904-724-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC ATRIUM JACKSONVILLE SNF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-09-20",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7109",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1648096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Atrium Way 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Benjamin Blatt, D.O.
• Valerie C Blatz, APRN
• Hannah Blauw
• Destyni Blaylock, ARNP
• Blazing Star Conveyance, LLC
• BLC Atrium-Jacksonville, LLC
• Amanda Bleak
• Curtis Michael Bleau, D.P.M.
• Richard M Blecha, MD
• Kristi Renee Bledsoe, PHARMD

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.