BLC - Wellington - Maryville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLC - WELLINGTON - MARYVILLE, LLC

Practice address

1869 Crest Rd
Maryville, TN 37804-4304

Phone

(865) 984-3030

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 Browns Creek 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": "1811796261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CREST RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044304",
            "telephone_number": "865-984-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 CREST RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044304",
            "telephone_number": "865-984-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC - WELLINGTON - MARYVILLE, 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 Browns Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Joseph Black, PT, SCS, ATC
• Melissa Carol Blackwood, CRNA
• Bradley Jacob Blair, BSN, RN, CRNA
• William George Blaker, MSN
• Patrick Blankenship, PHARMD
• Erin Bledsoe, MS,CCC-SLP
• Shannon Diane Blevins, FNP
• Wanda Blevins
• Graysen McConnell Bloom, DDS
• Blount County Children'S Advocacy Center

• Assisted Living Facility in Maryville, TN
• Providers in Maryville, 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.