BKD North Glendale, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BKD NORTH GLENDALE, LLC

Practice address

6735 W Hillcrest Blvd
Glendale, AZ 85310-5958

Phone

(623) 572-7400

NPI assigned

Feb 20, 2020

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

Joanne K Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale North Glendale Doing business as

Part of

Brookdale Senior Living Inc

Locations

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1740813401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 W HILLCREST BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W HILLCREST BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105958",
            "telephone_number": "623-572-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD NORTH GLENDALE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale North Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Leah Bisulca
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• Adela Bjelobrkovic
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• Cassandra Blackburn, RN
• Adam Bryce Blacker, O.D., M.S.
• Kimberly Irene Blahnik, LPN
• Cody Blair

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.