BLC Wellington - Johnson City LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC WELLINGTON - JOHNSON CITY LLC

Practice address

2003 Waters Edge Dr
Johnson City, TN 37604-8319

Phone

(423) 915-0110

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 Johnson City 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": "1750180063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 WATERS EDGE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048319",
            "telephone_number": "423-915-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 WATERS EDGE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048319",
            "telephone_number": "423-915-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC WELLINGTON - JOHNSON CITY 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 Johnson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keri Lynn Blanton
• Alicia Blasini, BCBA
• Ashley L Blaske, M.D.
• Alisha Michele Blaylock, BSN
• Charles Louis Blazek II, PHARM.D.
• Jessany Bledsoe, PHARMD
• Matthew Hartley Bledsoe, PHARM.D.
• Moriah Bledsoe, CCC-SLP
• Lisa D Blevins, APN
• Marsha Regina Blevins, LCSW

• Assisted Living Facility in Johnson City, TN
• Providers in Johnson City, 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.