The Blake at Bossier City Operating Co LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE BLAKE AT BOSSIER CITY OPERATING CO LLC

Practice address

2000 Blake Blvd
Bossier City, LA 71111-2232

Phone

(318) 752-6611

Fax

(318) 415-6411

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Renee Matheny

Title

Executive Director

Phone

(318) 752-6611

Specialties & licenses 1

Addresses

Other names 1

• The Blake at Bossier City Other name

Electronic endpoints 1

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1659923100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BLAKE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112232",
            "telephone_number": "318-752-6611",
            "fax_number": "318-415-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BLAKE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112232",
            "telephone_number": "318-752-6611",
            "fax_number": "318-415-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLAKE AT BOSSIER CITY OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-752-6611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.howell@blakeliving.com",
            "affiliation": "N",
            "endpointDescription": "DBO e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Blake Blvd",
            "city": "Bossier City",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711112232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Blake at Bossier City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Assisted Living Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.