BLC Wellington - Colonial Heights, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC WELLINGTON - COLONIAL HEIGHTS, LLC

Doing business as

Brookdale Colonial Heights

Practice address

400 Professional Park PVT Dr
Kingsport, TN 37663-2234

Phone

(423) 239-0022

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Anna F.C. Munoz

Title

Assistant Secretary

Phone

(414) 918-5443

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Colonial Heights 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": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1336948710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PROFESSIONAL PARK PVT DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632234",
            "telephone_number": "423-239-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROFESSIONAL PARK PVT DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632234",
            "telephone_number": "423-239-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC WELLINGTON - COLONIAL HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "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 Colonial Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Montella Bland, M.D.
• Kaitlyn Ruthann Blankenbeckler, FNP
• Courtney Lahatte Blankenship, DMD
• Myra Davis Blankenship, MSN, FNP-BC
• John Kent Blazier, MD
• Tony Bleckley, PT
• Savannah Rasnic Bledsoe
• Tara Bledsoe, APN
• Whitney Grace Blessing, PHARMD
• Serena Elizabeth Blevins, FNP

• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.